Travis M Peck R.D

NPI 1992845416 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1992845416
Gender Male
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-1711
Fax
Business Location
100 MICHIGAN ST NE
MC 109
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Michigan
License Number 962037
Remove 1992845416 NPI Number
 

According to our database, Travis M Peck R.D NPI is 1992845416, taxonomy code is 133V00000X and license number is 962037, license state is located at Michigan. Travis M Peck R.D physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Travis M Peck R.D has the Individual type.

Sponsored links

1992845416 NPI number is provided on an as is basis without warranty of any kind. 1992845416 is maintained by the National Plan & Provider Enumeration System. The contents of Travis M Peck R.D are for informational purposes only.