Individual
MICHELLE L WEINBENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
400 S JEFFERSON ST STE 115, SPOKANE, WA 99204-3144
(509) 599-6492
Mailing address
PO BOX 1798, SPOKANE, WA 99210-1798
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
806664200
ID MEDICARE
WA
05
—
8354623
—
WA
01
—
GAB32999
MEDICARE GROUP
WA
Enumeration date
04/26/2007
Last updated
01/07/2020
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