Organization
MGFITLIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R GORSKI RD, CD (OWNER)
(651) 336-8962
Entity
Organization
Contact information
Practice address
701 GATSBY GLEN DR, VERONA, WI 53593-2255
(651) 336-8962
Mailing address
701 GATSBY GLEN DR, VERONA, WI 53593-2255
(651) 336-8962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
08/11/2020
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