Individual
MARIE KATHLEEN DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(630) 414-2308
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(630) 414-2308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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