Victory Institute for Weight Management

NPI #1851544555 in Wyoming, Michigan

Provider Information

NPI Number: 1851544555
Entity Type: Organization
Organization Name: Victory Institute for Weight Management
Primary Specialty: Internal Medicine - Obesity Medicine
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 2093 HEALTH DR SW
Address 2: SUITE 302
City: Wyoming
State: Michigan
ZIP Code: 49519-9691
Phone: (616) 457-3600

Authorized Official

Name: DR. MATTHEW S BLAIR, D. O.
Title: MEMBER
Phone: (616) 457-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Dietitian, Registered	133V00000X
Internal Medicine - Obesity Medicine — Obesity Medicine	207RB0002X	Primary

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