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Individual

MR. MARK ALLEN PERIUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.D., MSA

Contact information

Practice address
50201 JEFFERSON AVE, CHESTERFIELD, MI 48047-4303
(248) 790-7944
Mailing address
50201 JEFFERSON AVE, CHESTERFIELD, MI 48047-4303
(248) 790-7944

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
133VN1006X
Metabolic Nutrition Registered Dietitian

Other

Enumeration date
04/02/2007
Last updated
09/11/2025
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