Individual
STEPHANIE RE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
759 45TH AVE STE 201, MUNSTER, IN 46321-2938
(219) 836-0296
(219) 836-1830
Mailing address
757 45TH AVE STE 201, MUNSTER, IN 46321-2912
(219) 922-5528
(219) 922-5526
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007745A
IN
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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