Kelly M Grandlich

NPI #1669168142 in Hartland, Wisconsin

Provider Information

NPI Number
1669168142
Entity Type
Individual
Name
Kelly M Grandlich
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Apr 17, 2023
Last Updated
Oct 12, 2023

Practice Location

Address
W292N7503 DORN RD
ZIP Code
53029-9247
Phone
(608) 228-6223

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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