Dr. Michael Philip Dick
Pediatrician Pediatric Infectious Diseases
3898 New Vision Dr
Fort Wayne
, Indiana 46845
Dr. Michael Philip Dick
Pediatrician Pediatric Infectious Diseases
3898 New Vision Dr
Fort Wayne
, Indiana 46845
(260) 458-5831
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Michael Philip Dick
- 3702 New Vision Dr Bldg B
- Fort Wayne, IN
- Zip : 46845-1703
- Fax : (260) 458-5831
- Phone : (260) 266-6013
Second Address
- Dr. Michael Philip Dick
- 3898 New Vision Dr
- Fort Wayne, IN
- Zip : 46845
- Fax : (260) 425-5755
- Phone : (260) 425-5750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 01041905 | IN |
| N | 2080P0208X | Pediatric Infectious Diseases | 01041905 | IN |
National Provider Identifier
| NPI | 1013936814 |
|---|---|
| Provider Name | Dr. Michael Philip Dick |
| First Address | Fort Wayne, IN 46845-1703 |
| Second Address | Fort Wayne, IN 46845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 23/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100460690 | (05) | IN |
| 2024786 | (05) | OH |
| F05183 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.