Most Relevant Information
Provider Data
NPI Number: | 1003357658 |
Provider Name: | ALLISON BRANDT |
Entity Type: | Individual |
Taxonomy Code: | 133V00000X |
Specialty: | Dietitian, Registered |
License Number: | 1028602 |
Most Important Dates
Enumeration Date: | 03/15/2017 |
Last Updated: | 03/15/2017 |
Provider Practice Location
1333 BREWERY PARK BLVD STE 200
DETROIT
MI
482074544
Practice Location Phone/Fax
Phone: | 3134464444 |
Fax: |
Provider Mailing Location
1673 COLUMBIA RD
BERKLEY
MI
480721975
Provider Mailing Phone/Fax
Phone: | 2485633217 |
Fax: |