Individual
CHERYL WIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-6525
(574) 647-6691
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-6525
(574) 647-6691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032857A
IN
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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