Doctor Name: | AMANDA KISCHUK |
NPI Number: | 1841545811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1040941 |
Business Practice Address: | 6245 Inkster Rd Garden City, MI - 481354001 |
Business Phone Number: | 7344583300 |
Business Fax Number: | |
Mailing Address: | 3044 Lincoln St, DEARBORN |
State: | MI |
Postal Code: | 481243504 |
Phone Number: | 3135704271 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1040941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |