Individual
GEORGE DATSENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
353 MADISON AVE, CLAWSON, MI 48017-1974
(248) 688-7858
Mailing address
353 MADISON AVE, CLAWSON, MI 48017-1974
(248) 688-7858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1050445
MI
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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