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Individual

SARAH LYN SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN

Contact information

Practice address
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503-2530
(616) 267-2400
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86085302
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86085302
COMMISSION ON DIETETIC REGISTRATION
MI
Enumeration date
08/04/2022
Last updated
02/01/2023
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