Individual
STEPHANIE BUSZKA-SOBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 NAOMI ST, PLAINWELL, MI 49080-1222
(269) 685-4596
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
892671
MI
Other
Enumeration date
02/14/2007
Last updated
11/22/2019
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