Individual
GAIL GRONEK WEISMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CD
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-7649
Mailing address
164 KINSALE AVE, VALPARAISO, IN 46385-8563
(647) 574-7649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717630
IN
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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