Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler Eric Dietzel, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033928767

Tyler Eric Dietzel, MD is a Student in an Organized Health Care Education/Training Program in South Bend, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

737 S 24th St
South Bend, IN 46615-2113
Phone: (765) 631-2880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1033928767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address737 S 24th St, South Bend, IN 46615-2113

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