Individual
MS. JULIE M KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
30400 TELEGRAPH RD, SUITE 350, BINGHAM FARMS, MI 48025-4537
(248) 353-9466
Mailing address
PO BOX 1547, ROYAL OAK, MI 48068-1547
(248) 795-5494
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/15/2011
Last updated
10/22/2012
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