Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michigan Nutrigenetics

Organization Internal Medicine Physician · NPI 1740997212

Michigan Nutrigenetics is an Internal Medicine Physician in Rockford, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6701 Boca Vista Dr NE Unit 102
Rockford, MI 49341-9655
Phone: (616) 255-5338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1740997212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Ruble — President · (616) 255-5338
NPI enumeratedNovember 3, 2022
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023
Mailing address6701 Boca Vista Dr Ne Unit 102, Rockford, MI 49341-9655

Other providers in Rockford