Individual
MRS. MICHELE MURPHY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, MHA
Contact information
Practice address
5105 WOODMERE CT, VALPARAISO, IN 46383-6672
(219) 508-0124
Mailing address
5105 WOODMERE CT, VALPARAISO, IN 46383-6672
(219) 508-0124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001125A
IN
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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