Individual
MR. MICHAEL KORTSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
105 MAGONA TRL, GEORGETOWN, TX 78628-7236
(512) 270-8741
Mailing address
105 MAGONA TRL, GEORGETOWN, TX 78628-7236
(512) 270-8741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85698
TX
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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