| Doctor Name: | MR. MICHAEL ANGELETTI |
| NPI Number: | 1790772549 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS RD CSCS |
| License Number: | 000577 |
| Business Practice Address: | 2513 Biggs Ave 37 Amds/sgpz Lackland Afb, TX - 78236 |
| Business Phone Number: | 2106717481 |
| Business Fax Number: | 2104479547 |
| Mailing Address: | 2513 Biggs Ave, 37 Amds/sgpz LACKLAND AFB |
| State: | TX |
| Postal Code: | 78236 |
| Phone Number: | 2106717481 |
| Fax Number: | 2104479547 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 000577 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| 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 |