Individual
MR. DAVID JOHN DZIEDZICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
STUDENT SERVICES BUILDING RM 201, TERRE HAUTE, IN 47809-0001
(812) 237-8232
Mailing address
1242 HERITAGE LN W, TERRE HAUTE, IN 47803-1397
(216) 904-6507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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