Individual
KATHERINE NOELDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7130 HERITAGE SQUARE DR STE 420, GRANGER, IN 46530-5644
(574) 323-3783
Mailing address
15236 ROSWELL CT, GRANGER, IN 46530-6298
(574) 309-7206
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12014604A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2022
Last updated
06/24/2025
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