Individual
DYLAN A WIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5108 S HIGH SCHOOL RD, INDIANAPOLIS, IN 46221-3606
(317) 417-2025
Mailing address
3547 MECHANICSBURG DR, INDIANAPOLIS, IN 46227-9626
(317) 417-2025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
07/15/2022
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