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Individual

DAVID P DICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4861 S 27TH ST, GREENFIELD, WI 53221-2603
(414) 325-3325
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11025-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00920109
MEDICARE RAILROAD
IL
Enumeration date
01/18/2010
Last updated
07/21/2014
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