NPI 1053949701

Jeffrey Gary Beach, RDN

Practitioner Registered Dietitian Detroit, MI

Practice location

Address: 13901 E Jefferson Ave, Detroit, MI 48215-2720
Phone: (313) 822-0900

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86089803 (MI)

Other Dietitian, Registered providers in Michigan →

Registry record

NPI: 1053949701
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2020
Record last updated: 1 Apr 2020

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.