Individual
MRS. CONNIE JEAN STEFANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11800 E 12 MILE ROAD, ST JOHN MACOMB HOSPITAL PT EDUCATION DEPT MEC, WARREN, MI 48093-3472
(586) 573-5697
(586) 576-4119
Mailing address
11800 E 12 MILE ROAD, ST JOHN MACOMB HOSPITAL PT EDUCATION DEPT MEC, WARREN, MI 48093-3472
(586) 573-5697
(586) 576-4119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
712110
MI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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