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Stephanie Amstutz

Dietitian, Registered in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1831566348
StatusActive
Last updated in NPPESSep 1, 2015

Details

NPI
1831566348
Entity type
Individual (NPI-1)
Name
Stephanie Amstutz
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2015
Last updated
Sep 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered37002554AINYes

Practice location

3909 New Vision Dr
Fort Wayne, IN 46845-1725

Phone 260-373-7491

Mailing address

1234 E Dupont Rd
Suite 1
Fort Wayne, IN 46825-1545

Phone 260-373-7491

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