Individual
MARY PATRICIA OSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-6982
Mailing address
4919 DAVIS CT, TROY, MI 48085-4997
(248) 840-6084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
561868
MI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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