Individual
MRS. TRACY ELAYNE STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 663-1975
Mailing address
1722 SHEARWATER CIR E, HURON, OH 44839-9131
(419) 433-8700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3010
OH
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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