Individual
STEPHANIE AMSTUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 373-7491
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-7491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002554A
IN
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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