Shane Michael Ditty, MD

NPI #1104039288 in South Bend, Indiana

Provider Information

NPI Number: 1104039288
Entity Type: Individual
Name: Shane Michael Ditty, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: May 7, 2007
Last Updated: Oct 6, 2008

Practice Location

Address: 416 E MONROE ST
Address 2: STE. 200
City: South Bend
State: Indiana
ZIP Code: 46601-2371
Phone: (574) 232-8119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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