Michigan Nutrigenetics

NPI #1740997212 in Rockford, Michigan

Provider Information

NPI Number: 1740997212
Entity Type: Organization
Organization Name: Michigan Nutrigenetics
Primary Specialty: Internal Medicine
Enumeration Date: Nov 3, 2022
Last Updated: Feb 8, 2023

Practice Location

Address: 6701 BOCA VISTA DR NE UNIT 102
City: Rockford
State: Michigan
ZIP Code: 49341-9655
Phone: (616) 255-5338

Authorized Official

Name: DR. DEAN ALAN RUBLE, DO
Title: PRESIDENT
Phone: (616) 255-5338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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