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NPI 1417636044 · live from the CMS NPI Registry

Elena Giorgia Bogliani, RDN

Dietitian, Registered in Birmingham, MI. National Provider Identifier 1417636044, active.

NPI record

NPI1417636044 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location600 Pierce St, Birmingham, MI 48009
Practice phone248-631-8914
Mailing addressPo Box 2139, 1221 Bowers St, Birmingham, MI 48012
EnumeratedJuly 12, 2023
Last updatedJuly 12, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.