Individual
PATRICIA M DYMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01082426A
IN
207N00000X
Dermatology Physician
DR.0053554
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028849
—
IN
Enumeration date
06/18/2010
Last updated
02/02/2021
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