Individual
DR. JONATHAN DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202
(317) 880-3851
Mailing address
8450 WILSON DR., INDIANAPOLIS, IN 46278
(317) 880-3851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076902A
IN
Other
Enumeration date
04/16/2010
Last updated
12/28/2020
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