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1821024043
VIRGIL A DIBIASE
SOUTH BEND, IN
NPI
1821024043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN 01042651A)
Enumeration Date
2006-06-23
Last Update Date
2023-01-06
Business Address
VIRGIL A DIBIASE M.D.
707 N MICHIGAN ST STE 102
SOUTH BEND, IN 46601-1068
Phone number: 574-647-8542
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Mailing Address
VIRGIL A DIBIASE M.D.
PO BOX 772988
DETROIT, MI 48277-2988
Phone number: 574-647-1610
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