Organization
TRINA WEBER, MS, RD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA MICHELLE WEBER MS, RD (REGISTERED DIETITIAN)
(269) 873-9108
Entity
Organization
Contact information
Practice address
4341 S WESTNEDGE AVE, SUITE 2106, KALAMAZOO, MI 49008-3289
(269) 873-9108
(269) 544-2460
Mailing address
4341 S WESTNEDGE AVE, SUITE 2106, KALAMAZOO, MI 49008-3289
(269) 873-9108
(269) 544-2460
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
926499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13638513
CAQH
MI
Enumeration date
11/09/2015
Last updated
11/09/2015
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