person
Dr. Damian D. Dieter, DPM
Podiatrist in South Bend, Indiana
NPI 1467494393

Damian D. Dieter is a Podiatrist based in South Bend, IN. Damian D. Dieter practices in South Bend, IN and has the professional credentials of DPM. The NPI Number for Damian D. Dieter is 1467494393 and holds a License No. 07000803 (Indiana).

The current practice location address for Damian D. Dieter is 1608 Portage Ave, South Bend, IN and can be reached out via phone at 574-233-2966 and via fax at 574-233-2995.

Location: 1608 Portage Ave, South Bend, IN, 46616-1740
person
Provider Profile Details
NPI Number
1467494393
Provider Name
Damian D. Dieter
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1608 Portage Ave, South Bend, IN, 46616-1740
Phone Number
574-233-2966
Fax Number
574-233-2995
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200040300A 05 IN
738460TTTT 01 IN ST JOSEPH FAMILY MEDICINE CENTER
351939564 01 IN PORTAGE FOOT CLINIC
480019850 01 IN RAILROAD MEDICARE NUMBER
07000803 01 IN INDIANA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1608 Portage Ave
City
State
Zip
46616-1740
Phone Number
574-233-2966
Fax Number
574-233-2995
person
Provider Business Mailing Address Details
Address
1608 Portage Ave
City
State
Zip
46616-1740
Phone Number
574-233-2966
Fax Number
574-233-2995
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
07000803 (Indiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000803 (Indiana)
Definition
Definition to come...
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