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Individual

MICHELLE GARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13430 N MERIDIAN ST STE 168, CARMEL, IN 46032-1484
(317) 582-8035
Mailing address
13430 N MERIDIAN ST STE 168, CARMEL, IN 46032-1484

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
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