Provider Demographics
NPI:1225320104
Name:POSNER, GAIL FREDRICK (RD, MS)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:FREDRICK
Last Name:POSNER
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Gender:F
Credentials:RD, MS
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Mailing Address - Street 1:6960 ORCHARD LAKE RD
Mailing Address - Street 2:#310
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4515
Mailing Address - Country:US
Mailing Address - Phone:248-855-4558
Mailing Address - Fax:248-855-0099
Practice Address - Street 1:6960 ORCHARD LAKE RD
Practice Address - Street 2:#310
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4515
Practice Address - Country:US
Practice Address - Phone:248-855-4558
Practice Address - Fax:248-855-0099
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered