Search › Michigan › Gerontological Nutrition Registered Dietitian
Anzor Modzgvreschvili, RD
NPI 1245866862 · on the registry since 2020
Practice
- Address
- 15750 Joy Rd
Detroit, MI 48228 - Phone
- (313) 273-6850
- Organisation at this address
- Fairlane Senior Care And Rehab Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 8600 Old Georgetown Rd, Bethesda, MD
Registry record
- Primary taxonomy
- Gerontological Nutrition Registered Dietitian
133VN1101X
- Also registered as
- Gerontological Nutrition Registered Dietitian
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan