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TYLER ERIC DIETZEL MD
NPI 1033928767
Student in an Organized Health Care Education/Training Program in South Bend, IN

Active since January 07, 2025
737 S 24TH ST, SOUTH BEND, IN 46615(765) 631-2880 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Eric Dietzel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER ERIC DIETZEL MD (NPI 1033928767) is an individual student in an organized health care education/training program in South Bend, Indiana and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1033928767
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER ERIC DIETZELCredential: MD
Location Address737 S 24TH STSouth Bend, IN 46615-2113
Mailing Address737 S 24th StSouth Bend, IN 46615-2113 · (765) 631-2880
Phone(765) 631-2880
Sole ProprietorNo
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1033928767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
737 S 24TH ST, South Bend, IN 46615
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Dietzel's NPI number?

The NPI number for Tyler Dietzel is 1033928767. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Tyler Dietzel located?

Tyler Dietzel practices at 737 S 24th St, South Bend, IN 46615. The listed phone number is (765) 631-2880.

What is Tyler Dietzel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Dietzel was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.