Healthcare Provider Details

I. General information

NPI: 1134926868
Provider Name (Legal Business Name): MORGAN OLIVIA ZACH RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26720 BRETTONWOODS ST
MADISON HEIGHTS MI
48071-3557
US

IV. Provider business mailing address

26720 BRETTONWOODS ST
MADISON HEIGHTS MI
48071-3557
US

V. Phone/Fax

Practice location:
  • Phone: 734-340-8933
  • Fax:
Mailing address:
  • Phone: 734-340-8933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: