Individual
MRS. KRISTIN JAYNE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP
Contact information
Practice address
360 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503-4677
(616) 486-6870
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
04/02/2025
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