Individual
MICHELLE MCCLURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, CD, CDE
Contact information
Practice address
1401 CHESTER BLVD, RICHMOND, IN 47374-1908
(765) 983-3000
Mailing address
1401 CHESTER BLVD, RICHMOND, IN 47374-1908
(765) 983-3000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001359A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5040
OH LICENSE - REID HOSP
OH
01
—
849943
CDR# REID HOSPITAL
IN
Enumeration date
11/02/2006
Last updated
07/08/2007
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