Provider Demographics
NPI:1356976690
Name:SELLINGER, GINA (MPH, RDN)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:SELLINGER
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:MAPLE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49664-0332
Mailing Address - Country:US
Mailing Address - Phone:734-716-9771
Mailing Address - Fax:
Practice Address - Street 1:3130 W CHENEY RD
Practice Address - Street 2:
Practice Address - City:MAPLE CITY
Practice Address - State:MI
Practice Address - Zip Code:49664-8758
Practice Address - Country:US
Practice Address - Phone:734-716-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist