Individual
MR. SAMUEL GEORGE TAMBEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN, LDN
Contact information
Practice address
8865 W 400 N STE 125, MICHIGAN CITY, IN 46360-9193
(219) 879-0333
(219) 861-8570
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.007751
IL
133V00000X
Registered Dietitian
Primary
37003128A
IN
Other
Enumeration date
08/01/2019
Last updated
10/12/2021
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