Individual
MICHELLE NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
50691 CARRINGTON PLACE CT, SOUTH BEND, IN 46637-2306
(574) 309-4273
Mailing address
50691 CARRINGTON PLACE CT, SOUTH BEND, IN 46637-2306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IN
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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