Organization · Type 2 NPI

University Physician Group

Registered Dietitian · Detroit, MI

NPI number 1265472575 Active

Practice location

4201 Saint Antoine St, Suite 4C
Detroit, MI 48201-2153

Mailing address

1560 E. Maple Rd., Suite 400-CREDENTIALING Dept.
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1265472575

University Physician Group's National Provider Identifier is 1265472575, issued on Jun 7, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 26, 2016.