Heidi Pankratz RD

NPI 1093916611 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093916611
Gender Female
Enumeration Date 05/30/2007
Last Updated 02/04/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
761 45TH STREET
SUITE 110
MUNSTER IN, 46321-2899, US
Phone (219) 922-3020
Fax (219) 922-3023
Business Location
1040 SIERRA DRIVE
SUITE 400
GREENWOOD IN, 46143-7241, US
Phone (317) 528-4881
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Heidi Pankratz RD NPI is 1093916611, taxonomy code is 133V00000X Heidi Pankratz RD physically located at 761 45th Street, Munster IN, 46321-2899. NPI Number Heidi Pankratz RD has the Individual type.

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1093916611 NPI number is provided on an as is basis without warranty of any kind. 1093916611 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Pankratz RD are for informational purposes only.