NPI 1023518313

Mary Balog, RD

Practitioner Registered Dietitian Ann Arbor, MI

Practice location

Address: 116 Allen Dr, Ann Arbor, MI 48103-4002
Phone: (734) 341-0307

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1087732 (MI)

Other Dietitian, Registered providers in Michigan →

Registry record

NPI: 1023518313
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2018
Record last updated: 14 Feb 2018

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.