Organization
SOUTH BEND MEDICAL FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY PIPP (CFO)
(574) 234-7176
Entity
Organization
Contact information
Practice address
3355 DOUGLAS RD, SOUTH BEND, IN 46635-1779
(574) 234-4176
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
08/28/2025
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