Nutrigenomic Medicine Pc in Grosse Pointe Woods - Public Health & General Preventive Medicine

Nutrigenomic Medicine Pc - NPI 1295917649

Nutrigenomic Medicine Pc is a Public Health & General Preventive Medicine in Grosse Pointe Woods, Michigan. Nutrigenomic Medicine Pc practices all healthcare services and medical treatments related to Public Health & General Preventive Medicine. The NPI Number for Nutrigenomic Medicine Pc is 1295917649. The last update date is 2007-11-28.

Nutrigenomic Medicine Pc's current location address is 19229 Mack Ave, Grosse Pointe Woods, Michigan. You can contact this provider via phone number 3136473320. The mailing address for Nutrigenomic Medicine Pc is 19229 Mack Ave, Grosse Pointe Woods, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nutrigenomic Medicine Pc
Address 19229 Mack Ave, Grosse Pointe Woods, Michigan
Phone Number 3136473320
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Meulendyk John
Credentials D.O.
Telephone Number 2483353134

NPI Number Detail

NPI Number 1295917649
Provider Enumeration Date 2007-11-28
Last Updated Date 2007-11-28

Provider Mailing Address Detail

Address 19229 Mack Ave
City Grosse Pointe Woods
State Michigan (MI)
Post Code 482362858
Phone Number 3136473320
Fax Number

Provider's Primary Taxonomy Detail

Speciality Public Health & General Preventive Medicine
Taxonomy 2083P0901X
Licence No 5101007821
Definition:
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4802974 MI --

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FAQs about Nutrigenomic Medicine Pc

What is the unique identifier code issued to Nutrigenomic Medicine Pc by the Centers for Medicare & Medicaid Services?

The Nutrigenomic Medicine Pc has been assigned the NPI (National Provider Identifier) 1295917649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Nutrigenomic Medicine Pc?

The Nutrigenomic Medicine Pc is physically situated at 19229 Mack Ave, in the city of Grosse Pointe Woods, state of MI, with the postal code 482362858.

What is Nutrigenomic Medicine Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nutrigenomic Medicine Pc is Public Health & General Preventive Medicine, and the taxonomy classification code that categorizes this area of expertise is 2083P0901X.

On what date did the Nutrigenomic Medicine Pc receive the assignment of its 1295917649 from the Centers for Medicare & Medicaid Services?

The Nutrigenomic Medicine Pc was issued its 1295917649 by the Centers for Medicare & Medicaid Services on 2007-11-28.

When was the information regarding Nutrigenomic Medicine Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nutrigenomic Medicine Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-28.

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