Individual
DAVID WESLEY DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 PROVIDENT DRIVE, STE B, WARSAW, IN 46580
(574) 268-4300
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(604) 793-5132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044051A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047340
—
IN
Enumeration date
06/14/2006
Last updated
12/15/2021
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