NPI 1083060842 · live from the CMS NPI Registry
Danielle Bauer, R.D.
Dietitian, Registered in Mason, MI. National Provider Identifier 1083060842, active.
NPI record
| NPI | 1083060842 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 776 E Columbia St, Mason, MI 48854 |
| Practice phone | 517-883-5028 |
| Enumerated | May 11, 2016 |
| Last updated | June 6, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 929865 (MI) |
| Nutritionist | 133N00000X | — (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.