Individual
DR. ERIC S UNZICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 S WALNUT ST, OPEN DOOR CLINIC, MUNCIE, IN 47302-2333
(765) 286-7000
Mailing address
5712 W. CR 400 SOUTH, FARMLAND, IN 47340
(765) 584-3782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062657A
IN
207Q00000X
Family Medicine Physician
MN-38933
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200831570
—
IN
05
—
B6728
—
NM
Enumeration date
06/30/2006
Last updated
02/26/2008
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