Individual
AIMEE RAE KALCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1507 TRINIDAD AVE NW, WALKER, MI 49534-7701
(616) 970-5177
Mailing address
1507 TRINIDAD AVE NW, WALKER, MI 49534-7701
(616) 970-5177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86079179
MI
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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