Search › Indiana › 207Q00000X
Dyllan Tiburzi
NPI 1326536095 · on the registry since 2018
Practice
- Address
- 2235 Cleveland Rd
South Bend, IN 46628 - Phone
- (574) 647-4530
- Fax
- (574) 647-2285
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Additional practice sites
- 714 N Michigan St, South Bend, IN
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana