Individual
THERESA WELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 336-4000
(248) 336-9137
Mailing address
PO BOX 20267, FERNDALE, MI 48220-0267
(248) 336-4000
(248) 336-9137
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86045745
MI
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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