Individual
MR. JOHN M BACCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
325 E H ST # 133, IRON MOUNTAIN, MI 49801
(906) 774-3300
Mailing address
10 S CLINTON ST, CHICAGO, IL 60661-3400
(312) 902-2040
(312) 648-0155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007146
IL
Other
Enumeration date
08/08/2017
Last updated
09/07/2019
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