Individual
MS. GINA MARIE COSNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7445 ALLEN RD, SUITE 210, ALLEN PARK, MI 48101-1963
(313) 382-0505
(313) 382-1584
Mailing address
7445 ALLEN RD, SUITE 210, ALLEN PARK, MI 48101-1963
(313) 382-0505
(313) 382-1584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R468299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R468299
STATE LICENSE
MI
Enumeration date
04/13/2006
Last updated
07/08/2007
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