Individual
MARY SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1234 E DUPONT RD, FORT WAYNE, IN 46825-1545
(260) 373-9700
Mailing address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 969-6601
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000241A
IN
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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