| Trina Weber, Ms, Rd, Llc | |
|
4341 S Westnedge Ave Suite 2106 Kalamazoo MI 49008-3289 | |
| (269) 873-9108 | |
| (269) 544-2460 |
| Full Name | Trina Weber, Ms, Rd, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4341 S Westnedge Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | Trina Michelle Weber (REGISTERED DIETITIAN) |
| Authorized Official Contact | 2698739108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trina Weber, Ms, Rd, Llc 4341 S Westnedge Ave Suite 2106 Kalamazoo MI 49008-3289 Ph: (269) 873-9108 | Trina Weber, Ms, Rd, Llc 4341 S Westnedge Ave Suite 2106 Kalamazoo MI 49008-3289 Ph: (269) 873-9108 |
| NPI Number | 1376916684 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376916684 | NPI | - | NPPES |
| 13638513 | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 926499 (Michigan) | Primary |
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