Individual
GREGORY DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
357 TANGER BLVD STE 215, SEYMOUR, IN 47274-3597
(812) 716-7329
Mailing address
357 TANGER BLVD STE 215, SEYMOUR, IN 47274-3597
(812) 716-7329
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27065679A
IN
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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