Bridgette Renee Koselke
NPI #1922209535 in Michigan City, Indiana
Provider Information
- NPI Number
- 1922209535
- Entity Type
- Individual
- Name
- Bridgette Renee Koselke
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- May 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 301 W HOMER ST
- Address 2
- STE 106
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-4358
- Phone
- (219) 861-8814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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