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NUTRIGENOMIC MEDICINE PC
NPI 1295917649
Preventive Medicine - Public Health & General Preventive Medicine in Grosse Pointe Woods, MI

Active since November 28, 2007
19229 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 647-3320 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nutrigenomic Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRIGENOMIC MEDICINE PC (NPI 1295917649) is a healthcare organization registered as a public health & general preventive medicine in Grosse Pointe Woods, Michigan and active in the NPI registry since November 2007. The organization lists John Meulendyk, Owner, as its authorized official.

NPPES Registry Identity

NPI1295917649
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameNUTRIGENOMIC MEDICINE PC
Location Address19229 MACK AVEGrosse Pointe Woods, MI 48236-2858
Mailing Address1983 Kemp RdBloomfield, MI 48302-0142 · (248) 335-3134
Phone(313) 647-3320
Organization SubpartNo
Authorized OfficialJohn MeulendykOwner · (248) 335-3134
Enumeration DateNovember 28, 2007
✔ NPI 1295917649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in MI · 5101007821
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
19229 MACK AVE, Grosse Pointe Woods, MI 48236
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Other Identifiers 3

Medicare UPINF00587MI
Medicaid4802974MI
Medicare PINOP17480001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMR M AREF MD
Radiology (Radiation Oncology)
19229 MACK AVE, SUITE 10
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3100
AYAD M. AL-KATIB MD
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 34
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3245
ZYAD KAFRI MD
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, SUITE 23
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3245
CHARLENE L. SEBEST P.A.-C
Physician Assistant (Medical)
19229 MACK AVE, SUITE 24
GROSSE POINTE, MI 48236
Wayne County (313) 884-5522
GHAZAL ALMRADI MS
Genetic Counselor, MS
19229 MACK AVE, SUITE 18
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3924
DR. JOHN ELLIOTT BOCCACCIO M.D.
Specialist
19229 MACK AVE, SUITE 38
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 885-1520
ST JOHN HOSPITAL AND MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
19229 MACK AVE, 24
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 884-5522
CHERYL A WESEN MD
Surgery
19229 MACK AVE, STE 34
GROSSE POINTE WOODS, MI 48236
Wayne County (313) 647-3912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nutrigenomic Medicine PC's NPI number?

The NPI number for Nutrigenomic Medicine PC is 1295917649. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Nutrigenomic Medicine PC located?

Nutrigenomic Medicine PC is located at 19229 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 647-3320.

What is Nutrigenomic Medicine PC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Nutrigenomic Medicine PC was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.