VIRGIL A DIBIASE

SOUTH BEND, IN
NPI1821024043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN  01042651A)
Enumeration Date2006-06-23
Last Update Date2023-01-06
Business Address
VIRGIL A DIBIASE M.D.
707 N MICHIGAN ST STE 102
SOUTH BEND, IN 46601-1068
Phone number: 574-647-8542
Mailing Address
VIRGIL A DIBIASE M.D.
PO BOX 772988
DETROIT, MI 48277-2988
Phone number: 574-647-1610