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Individual

SKYLER GICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
909 SAGAMORE PKWY W, LAFAYETTE, IN 47906-1443
(765) 463-6262
(765) 463-9122
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005732A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02005732A
IN

Other

Enumeration date
04/05/2018
Last updated
08/16/2023
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