Doctor Name: | MS. CYNTHIA ANN RUTKOWSKI |
NPI Number: | 1063479293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, RD |
License Number: | R364117 |
Business Practice Address: | 22921 Buckingham St Dearborn, MI - 481282806 |
Business Phone Number: | 3132785217 |
Business Fax Number: | 3132069085 |
Mailing Address: | 22921 Buckingham St, DEARBORN |
State: | MI |
Postal Code: | 481282806 |
Phone Number: | 3132785217 |
Fax Number: | 3132069085 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | R364117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |