Individual
DR. STEPHEN W SHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 CLEARVISTA PKWY, STE 500, INDIANAPOLIS, IN 46256-5630
(317) 355-8326
(317) 621-4555
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01045041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087010
ANTHEM PIN
IN
01
—
200034382
RAILROAD MEDICARE
IN
05
—
200098170
—
IN
01
—
P01588264
RR MEDICARE
IN
Enumeration date
08/01/2006
Last updated
07/11/2022
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