Individual
DR. KATHERINE STALBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10860 MAPLE LN, SAINT JOHN, IN 46373-8418
(219) 365-7000
(219) 365-2609
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01096446A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/26/2022
Last updated
06/20/2025
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