Dr. Marvin D Dziabis
Nuclear Medicine Specialist
275 W 12th St
Peru
, Indiana 46970-1638
Dr. Marvin D Dziabis
Nuclear Medicine Specialist
275 W 12th St
Peru
, Indiana 46970-1638
(800) 288-8325
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Marvin D Dziabis
- 5700 Southwyck Blvd
- Toledo, OH
- Zip : 43614-1509
- Phone : (800) 288-8325
Second Address
- Dr. Marvin D Dziabis
- 275 W 12th St
- Peru, IN
- Zip : 46970-1638
- Phone : (765) 472-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 01019407A | IN |
National Provider Identifier
| NPI | 1306827365 |
|---|---|
| Provider Name | Dr. Marvin D Dziabis |
| First Address | Toledo, OH 43614-1509 |
| Second Address | Peru, IN 46970-1638 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2005 |
| Last Update Date | 31/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 220008472 | RAILROAD (01) | |
| D95780 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.