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Contact Information

COURTNEY IWANICKI, MS, RD, CSP
13733 ALLEN RD
CLINTON, MI49236-9653
 Phone: 269-591-2464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for COURTNEY IWANICKI · (Female)

NPI Number 1891454815
Status Active
Credentials MS, RD, CSP
Entity Individual
Enumeration date 12/17/2021
Last updated 12/17/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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