Doctor Name: | TRINA M WEBER |
NPI Number: | 1679546337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD |
License Number: | 926499 |
Business Practice Address: | 826 Parchment Dr Se Ste 100 Grand Rapids, MI - 495462307 |
Business Phone Number: | 6169577700 |
Business Fax Number: | 6169577773 |
Mailing Address: | 826 Parchment Dr Se Ste 100, GRAND RAPIDS |
State: | MI |
Postal Code: | 495462307 |
Phone Number: | 6169577700 |
Fax Number: | 6169577773 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 04/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 926499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |