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Individual

MICHAEL L SUKALOSKI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
119 SOUTH ST, BIDDEFORD, ME 04005-2311
(207) 303-2399
Mailing address
119 SOUTH ST, BIDDEFORD, ME 04005-2311
(207) 303-2399

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI2148
ME

Other

Enumeration date
01/13/2025
Last updated
06/16/2025
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