Nutrigenomic Medicine PC
NPI 1295917649 · Public Health & General Preventive Medicine Physician · Grosse Pointe Woods, MI
Nutrigenomic Medicine PC is a Public Health & General Preventive Medicine Physician organization in Grosse Pointe Woods, MI (NPI 1295917649).
Provider details
- NPI number
- 1295917649
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Meulendyk, Owner(248) 335-3134
- License
- 5101007821 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2007-11-28
Frequently asked questions
- What is Nutrigenomic Medicine PC's NPI number?
- Nutrigenomic Medicine PC's National Provider Identifier (NPI) is 1295917649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nutrigenomic Medicine PC?
- Nutrigenomic Medicine PC is classified in the NPPES registry as Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nutrigenomic Medicine PC located?
- Nutrigenomic Medicine PC's practice location on file with NPPES is 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2858.
- What is Nutrigenomic Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Nutrigenomic Medicine PC is (313) 647-3320.
- Who is the authorized official for Nutrigenomic Medicine PC?
- The authorized official listed on Nutrigenomic Medicine PC's NPPES record is John Meulendyk, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nutrigenomic Medicine PC's NPI active?
- Yes — Nutrigenomic Medicine PC's NPI (1295917649) is active in the NPPES registry as of the last update on 2007-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.