Individual
COURTNEY IWANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSP
Contact information
Practice address
13733 ALLEN RD, CLINTON, MI 49236-9653
(269) 591-2464
Mailing address
13733 ALLEN RD, CLINTON, MI 49236-9653
(269) 591-2464
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
MI
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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