| Grand Traverse Nutrition, Llc | |
|
800 Cottageview Dr, Suite 1076, Traverse City, MI 49684-2616 | |
| (231) 632-1522 | |
| Not Available |
| Full Name | Grand Traverse Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 800 Cottageview Dr, Traverse City, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396160388 | NPI | - | NPPES |
| 851200 | Other | MI | RDN - COMMISSION DIETETIC REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Traverse Nutrition, Llc Po Box 6263, Traverse City, MI 49696-6263 Ph: (231) 632-1522 | Grand Traverse Nutrition, Llc 800 Cottageview Dr, Suite 1076, Traverse City, MI 49684-2616 Ph: (231) 632-1522 |
Christine A Russell, MSRD Dietitian Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 | |
Natalie C Crew, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-6447 | |
Patricia Gourlay, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4062 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0466 Fax: 231-935-0467 | |
Mrs. Darcia Brewer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1609 Park Dr, Traverse City, MI 49686 Phone: 231-947-8920 Fax: 231-947-6401 | |
Lauren E Kline, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 | |
Mrs. Meghan Irene Damman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4062 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-4104 | |
Lacy Marie Amor, RD, IBCLC Dietitian Medicare: Medicare Enrolled Practice Location: 766 Indian Trail Blvd, Traverse City, MI 49686 Phone: 231-233-1774 |