Individual
MRS. STEPHANIE ANNE GEHLHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 326-2391
Mailing address
55614 CARDINAL DR, SOUTH BEND, IN 46619-4601
(574) 386-7972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05008187A
IN
Other
Enumeration date
06/22/2007
Last updated
08/13/2014
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