Individual
GARY J STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2600 ROOSEVELT RD, VALPARAISO, IN 46383-0970
(219) 464-7117
(219) 548-3908
Mailing address
209 SPECTACLE DR, VALPARAISO, IN 46383-1056
(219) 464-7117
(219) 548-3908
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
08001558
IN
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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