Organization · Type 2 NPI

Nutrition Balance LLC

Clinic/Center · St. Clair Shores, MI

NPI number 1275958118 Active

Practice location

22811 Greater Mack Ave, Suite 105
St. Clair Shores, MI 48080-2021

Fax (586) 778-3004

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X00595403 (MI)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

29 other providers at this address

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About NPI 1275958118

Nutrition Balance LLC's National Provider Identifier is 1275958118, issued on Mar 1, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Mar 1, 2014.