Brent Tannin Tabata, MS, RD
Brent Tannin Tabata, MS, RD is a Registered Dietitian in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.
- Licensed in
- MI
- In the registry since
- 2023
What do these letters mean?
Practice location Address checks out
360 Lafayette Ave SE Ste 400Grand Rapids, MI 49503-4677
Phone: (616) 486-6870
Fax: (616) 454-6898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 973751 (MI) |
|---|
Record details
| NPI number | 1922702638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , RD |
| Sole proprietor | No |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 5, 2023 |
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