MRS. Michelle Renaee Haleck, MS, RD,LD
NPI #1174703144 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1174703144
- Entity Type
- Individual
- Name
- MRS. Michelle Renaee Haleck, MS, RD,LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD,LD
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Mar 1, 2010
Practice Location
- Address
- 2450 RISNER DR
- Address 2
- ELLSWORTH AIR FORCE BASE
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4704
- Phone
- (605) 385-2349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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