Individual
DR. RICHARD S DICKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 E STATE ROAD 205, SUITE 240, COLUMBIA CITY, IN 46725-9499
(260) 244-7600
(260) 244-5212
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029443
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325785
ANTHEM
IN
01
—
000000570550
ANTHEM
IN
05
—
100263110A
—
IN
01
—
1229
PHP
IN
01
—
1977073
CIGNA
IN
01
—
351972384039
TRICARE
IN
01
—
3937240025
MEDICARE DMEPOS
IN
01
—
4048678
AETNA
IN
01
—
P00467073
RAILROAD MEDICAE
IN
Enumeration date
08/02/2005
Last updated
09/24/2012
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