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Virgil A Dibiase, MD
Neurology Physician in South Bend, Indiana
NPI 1821024043

Virgil A Dibiase is a Neurology Physician based in Detroit, IN and is specialized in Neurology. Virgil A Dibiase practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Virgil A Dibiase is 1821024043 and holds a License No. 01042651A (Indiana).

The current practice location address for Virgil A Dibiase is 707 N Michigan St Ste 102, South Bend, IN and can be reached out via phone at 574-647-8542 and via fax at 574-647-8549.

Location: 707 N Michigan St Ste 102, South Bend, IN, 48277-2988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821024043
Provider Name
Virgil A Dibiase
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
707 N Michigan St Ste 102, South Bend, IN, 48277-2988
Phone Number
574-647-8542
Fax Number
574-647-8549
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M32727008 01 MEDICARE
100386310 05 IN
institution
Provider Business Practice Location Address Details
Address
707 N Michigan St Ste 102
City
South Bend
State
Indiana
Zip
46601-1068
Phone Number
574-647-8542
Fax Number
574-647-8549
person
Provider Business Mailing Address Details
Address
707 N Michigan St Ste 102
City
South Bend
State
Indiana
Zip
46601-1068
Phone Number
574-647-8542
Fax Number
574-647-8549
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01042651A (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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