NPI 1013311513

Janet Dominowski, RD

Practitioner Registered Dietitian Grand Rapids, MI

Practice location

Address: 4100 Lake Dr SE Suite 200, Grand Rapids, MI 49546-8292
Phone: (616) 267-8950
Fax: (616) 267-8585
Mailing address: 100 Michigan St NE Mc 845, Grand Rapids, MI 49503-2560

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 20320103 (MI)

Other Dietitian, Registered providers in Michigan →

Registry record

NPI: 1013311513
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2014
Record last updated: 14 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.