| NPI | 1376345397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTA REIERSON Cmo 315-216-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 207R00000X Internal Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |