Individual
MERIEVELYN STUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD, CNSD
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4650
Mailing address
9144 COTTAGE GROVE PL, HIGHLAND, IN 46322-2817
(219) 924-8284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001022A
IN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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