Individual
BRYANNA RUTH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Contact information
Practice address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Mailing address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1020845
MI
363A00000X
Physician Assistant
Primary
5601006531
MI
Other
Enumeration date
09/17/2012
Last updated
03/26/2024
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