Organization
INDIANA PHYSICIAN MANAGEMENT - HANCOCK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART E BICK MD (PRESIDENT)
(317) 802-6301
Entity
Organization
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 468-4415
Mailing address
4685 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(317) 802-6301
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533340
—
IN
Enumeration date
06/09/2006
Last updated
02/28/2011
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