Individual
GILBERTO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 BREWERY PARK BLVD STE 200, DETROIT, MI 48207-4544
(313) 446-4444
(313) 396-5574
Mailing address
1333 BREWERY PARK BLVD STE 200, DETROIT, MI 48207-4544
(313) 446-4444
(313) 396-5574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
818459
MI
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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