Organization · Type 2 NPI

ST John Hospital Corporation

Registered Dietitian · Detroit, MI

NPI number 1720111701 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Fax (586) 228-4520

Mailing address

43800 Garfield Rd, 200
Clinton Township, MI 48038-1136

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 1720111701

ST John Hospital Corporation's National Provider Identifier is 1720111701, issued on Mar 13, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 12, 2007.