Provider Demographics
NPI:1609043769
Name:SAUTER, CECILIA (RD)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:SAUTER
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 1:400 E EISENHOWER PKWY
Mailing Address - Street 2:SUITE B BUILDING # 2
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-0741
Mailing Address - Country:US
Mailing Address - Phone:734-998-2478
Mailing Address - Fax:734-647-5869
Practice Address - Street 1:400 E EISENHOWER PKWY
Practice Address - Street 2:SUITE B BUILDING # 2
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-0741
Practice Address - Country:US
Practice Address - Phone:734-998-2478
Practice Address - Fax:734-647-5869
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION51900007Medicare PIN