Individual
DR. MICHAEL JOHN DIBLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.,C.C.S.P
Contact information
Practice address
1709 E BRISTOL ST, ELKHART, IN 46514-6606
(574) 264-9174
(574) 262-4070
Mailing address
1709 E. BRISTOL ST., ELKHART, IN 46514-6606
(574) 264-9174
(574) 262-4070
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08000910
IN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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