Organization
INSTITUTE FOR DYNAMIC LIVING INC
Active
Other names
Better Life Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN EDWARD STOLLER M.D. (CEO)
(765) 935-0070
Entity
Organization
Contact information
Practice address
1528 NW 5TH ST, SUITE 100, RICHMOND, IN 47374-1844
(765) 935-0070
(765) 935-0073
Mailing address
1528 NW 5TH ST, SUITE 100, RICHMOND, IN 47374-1844
(765) 935-0070
(765) 935-0073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10024995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201293710A
—
IN
Enumeration date
11/29/2007
Last updated
08/11/2015
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