Individual
ALISHA MICHELLE DICKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(877) 774-8632
Mailing address
11220 ROLLING PINE RUN, FORT WAYNE, IN 46814-8119
(812) 459-6162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003245A
IN
Other
Enumeration date
10/04/2021
Last updated
09/10/2024
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