NPI 1295290443 · live from the CMS NPI Registry
Ascension St. John Hospital
Dietitian, Registered in Detriot, MI. National Provider Identifier 1295290443, active.
NPI record
| NPI | 1295290443 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 22201 Moross, Ste. 270, Detriot, MI 48236 |
| Practice phone | 313-343-3481 |
| Enumerated | February 1, 2019 |
| Last updated | February 1, 2019 |
| Authorized official | Julie Johannsen-Wilk, Registered Clinical Dietician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.