Individual
DR. STACI-MARIE BALOG NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CDE
Contact information
Practice address
760 WEST COTTER STREET, SOUTH BEND, IN 46613
(574) 993-1737
(574) 251-2446
Mailing address
760 WEST COTTER STREET, SOUTH BEND, IN 46613
(574) 993-1737
(574) 251-2446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018206A
IN
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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