Provider Demographics
NPI:1598372831
Name:WHETSTONE, ANN CHRISTINE (RD)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:CHRISTINE
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 BARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5606
Mailing Address - Country:US
Mailing Address - Phone:810-874-2121
Mailing Address - Fax:
Practice Address - Street 1:1731 BARRINGTON PL
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5606
Practice Address - Country:US
Practice Address - Phone:810-874-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered