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Benjamin Haberly
Surgical Physician Assistant in South Bend, Indiana
NPI 1679176200

Benjamin Haberly is a Surgical Physician Assistant based in Muncie, IN and is specialized in Surgical. Benjamin Haberly practices in South Bend, IN. The NPI Number for Benjamin Haberly is 1679176200 and holds a License No. 10003022A (Indiana).

The current practice location address for Benjamin Haberly is 53880 Carmichael Dr, South Bend, IN and can be reached out via phone at 574-247-9441.

Location: 53880 Carmichael Dr, South Bend, IN, 47304-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679176200
Provider Name
Benjamin Haberly
Credential
Provider Entity Type
Individual
Gender
Male
Address
53880 Carmichael Dr, South Bend, IN, 47304-5407
Phone Number
574-247-9441
Fax Number
Provider Enumeration Date
11/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
53880 Carmichael Dr
City
South Bend
State
Indiana
Zip
46635-1567
Phone Number
574-247-9441
Fax Number
person
Provider Business Mailing Address Details
Address
53880 Carmichael Dr
City
South Bend
State
Indiana
Zip
46635-1567
Phone Number
574-247-9441
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
10003022A (Indiana)
Definition
Definition to come...
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