Individual
SHERRI TEMPLE ISAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CDE
Contact information
Practice address
6913 N MAIN ST, GRANGER, IN 46530-9601
(574) 647-6400
(574) 647-2591
Mailing address
328 N MICHIGAN ST, SUITE 200, SOUTH BEND, IN 46601-1244
(248) 763-8107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001649A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37001649A
PROFESSONAL LICENSE
IN
Enumeration date
02/01/2006
Last updated
07/11/2014
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