| Doctor Name: | DR. MAXIMINO ALFREDO MEJIA |
| NPI Number: | 1750442034 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.D.N., R.D., R.D.N |
| License Number: | |
| Business Practice Address: | 6521 E Main St Eau Claire, MI - 491115129 |
| Business Phone Number: | 2693516007 |
| Business Fax Number: | |
| Mailing Address: | 6521 E Main St, P.o. Box 37 EAU CLAIRE |
| State: | MI |
| Postal Code: | 491115129 |
| Phone Number: | 2693516007 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |