Individual
MICHELLE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37004051A
IN
133V00000X
Registered Dietitian
86155374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364414477
TAX ID
IL
Enumeration date
08/23/2021
Last updated
10/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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