Individual
DAVID D HIBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 481-2700
(260) 481-2838
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 482-9125
(260) 481-2838
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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