# DZIABIS & GIFFORD PATHOLOGIST PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336120393
- **Authorized official:** DR. MARVIN D DZIABIS MD (PRESIDENT)
- **Authorized official phone:** (765) 472-0516

## Contact information

- **Practice address:** 275 W 12TH ST, PERU, IN 46970-1638
- **Practice address phone:** (765) 472-8000
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | — | NULL | — |
| 207U00000X | Nuclear Medicine Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 08/03/2015