Matthew W. Dinnon DPM

NPI 1174505804 - Podiatrist - 213ES0103X

NPI Details
NPI 1174505804
Gender Male
Enumeration Date 11/17/2005
Last Updated 08/27/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
53880 CARMICHAEL DR
SOUTH BEND IN, 46635-1567, US
Phone (574) 247-9441
Fax (574) 247-9442
Business Location
53880 CARMICHAEL DR
SOUTH BEND IN, 46635-1567, US
Phone (574) 247-9441
Fax (574) 247-9442
Toxanomy
Taxonomy Code 213ES0103X
License State Indiana
License Number 07000903A
Remove 1174505804 NPI Number
 

According to our database, Dr. Matthew W. Dinnon DPM NPI is 1174505804, taxonomy code is 213ES0103X and license number is 07000903A, license state is located at Indiana. Matthew W. Dinnon DPM physically located at 53880 Carmichael Dr, South Bend IN, 46635-1567. NPI Number Matthew W. Dinnon DPM has the Individual type.

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1174505804 NPI number is provided on an as is basis without warranty of any kind. 1174505804 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew W. Dinnon DPM are for informational purposes only.