Individual
NICHOLAS DEWIT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 45TH AVE, MUNSTER, IN 46321-3962
(219) 922-8188
Mailing address
2045 PORTE DE LEAU CT, #207, HIGHLAND, IN 46322-2390
(219) 781-3531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001173A
IN
Other
Enumeration date
02/12/2006
Last updated
07/08/2007
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