Individual provider · Type 1 NPI
Virgil A. Dibiase, MD
Neurology Physician · South Bend, IN
NPI number
1821024043
Active
Practice location
707 N Michigan St Ste 102
South Bend, IN 46601-1068
Fax (574) 647-8549
Mailing address
PO Box 772988
Detroit, MI 48277-2988
Other practice locations
- 900 I St, La Porte, IN 46350-5533 · (219) 324-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 01042651A (IN) |
Neurology Physician: 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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About NPI 1821024043
Virgil A. Dibiase, MD's National Provider Identifier is 1821024043, issued on Jun 23, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in South Bend, IN. The record was last updated on Jan 6, 2023.