Nutrigenomic Medicine PC

Organization Public Health & General Preventive Medicine Physician · NPI 1295917649

Nutrigenomic Medicine PC is a Public Health & General Preventive Medicine Physician in Grosse Pointe Woods, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in: MI
In the registry since: 2007

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

19229 Mack Ave
Grosse Pointe Woods, MI 48236-2858
Phone: (313) 647-3320

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary)	Taxonomy 2083P0901X · Licence 5101007821 (MI)

Record details

NPI number	1295917649
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	John Meulendyk — Owner · (248) 335-3134
NPI enumerated	November 28, 2007
Last updated in NPPES	November 28, 2007
Mailing address	1983 Kemp Rd, Bloomfield, MI 48302-0142