Organization Name: | NUTRIGENOMIC MEDICINE PC |
NPI Number: | 1295917649 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MEULENDYK (OWNER) |
Mailing Address: | 19229 Mack Ave Grosse Pointe Woods |
State: | MI US |
Postal Code: | 482362858 |
Phone Number: | 3136473320 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0901X |
License Number: | 5101007821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Public Health & General Preventive Medicine |
Taxonomy Definition: | Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |