NPI 1033928767

Tyler Eric Dietzel, MD

Practitioner Student in an Organized Health Care Education/Training Program South Bend, IN

Practice location

Address: 737 S 24th St, South Bend, IN 46615-2113
Phone: (765) 631-2880

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033928767
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2025
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.