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1104039288
SHANE MICHAEL DITTY
SOUTH BEND, IN
NPI
1104039288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01060795)
Enumeration Date
2007-05-07
Last Update Date
2008-10-06
Business Address
-- SHANE MICHAEL DITTY MD
416 E MONROE ST STE. 200
SOUTH BEND, IN 46601-2371
Phone number: 574-232-8119
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Mailing Address
-- SHANE MICHAEL DITTY MD
416 E MONROE ST STE. 200
SOUTH BEND, IN 46601-2371
Phone number: 574-232-8119
Copy
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