Individual
MR. HAYWARD S PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., R.D.N
Contact information
Practice address
58 PARSONS ST, DETROIT, MI 48201
(313) 864-0300
Mailing address
20501 LIVERNOIS AVE., P.O. BOX 21937, DETROIT, MI 48221-9998
(313) 864-0300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/03/2013
Last updated
06/07/2018
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