Individual
MRS. JESSICA MICHELLE SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
44250 DEQUINDRE RD, OUTPATIENT DIABETES EDUCATION, 2ND FLOOR, STERLING HEIGHTS, MI 48314-1002
(248) 964-0359
(248) 964-8050
Mailing address
12115 BARBARA ANN DR, WASHINGTON, MI 48095-1428
(586) 623-3067
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/13/2012
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