| Heather J Fuller, RDN | |
|
694 Lincoln Ave Apt 3, Clawson, MI 48017-2505 | |
| (517) 455-8127 | |
| (517) 455-8127 |
| Full Name | Heather J Fuller |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 694 Lincoln Ave Apt 3, Clawson, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114802253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heather J Fuller, RDN 694 Lincoln Ave Apt 3, Clawson, MI 48017-2505 Ph: (517) 455-8127 | Heather J Fuller, RDN 694 Lincoln Ave Apt 3, Clawson, MI 48017-2505 Ph: (517) 455-8127 |
Carrie Elizabeth Couretas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 469 W Baker Ave, Clawson, MI 48017 Phone: 248-563-8719 |
George Datsenko, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 353 Madison Ave, Clawson, MI 48017 Phone: 248-688-7858 |