Individual
LAURA FOGLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
323 GREENWOOD ST, BIRMINGHAM, MI 48009-3812
(602) 410-1812
Mailing address
323 GREENWOOD ST, BIRMINGHAM, MI 48009-3812
(602) 410-1812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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