Michelle Marie Gilleran, RDN

Individual provider Active NPI Registered Dietitian · China, MI

NPI 1861179012 · NPPES record last updated Jul 6, 2023

Key facts

NPI
1861179012
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
3279 McKinley Rd
China, MI 48054-1107
Phone
(810) 643-3325
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Your Specialized Dietitian Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X MI Yes

Addresses

Primary practice location

3279 McKinley Rd
China, MI 48054-1107

Mailing address

3279 McKinley Rd
China, MI 48054-1107
Phone (810) 643-3325

Other providers in China, MI

All providers in China, MI · Registered Dietitian in Michigan

Sources for this page

Verify at the official NPI Registry.