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Organization
MICHIGAN INSTITUTE FOR HEALTH ENHANCEMENT
Active
Organization
MICHIGAN INSTITUTE FOR HEALTH ENHANCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALGIRDAS ANTANAS JUOCYS D.O. (CHIEF MEDICAL OFFICER)
(248) 475-4702
Entity
Organization
Contact information
Practice address
4986 N. ADAMS RD., SUITE D, ROCHESTER, MI 48306-1416
(248) 475-4880
(248) 475-5777
Mailing address
4986 N. ADAMS RD., SUITE D, ROCHESTER, MI 48306-1416
(248) 475-4880
(248) 475-5777
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
850328
IL
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
09/27/2005
Last updated
08/31/2012
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