NPI 1013936814

Michael Philip Dick, MD

Practitioner Pediatrics Physician Fort Wayne, IN

Practice location

Address: 3898 New Vision Dr, Fort Wayne, IN 46845
Phone: (260) 425-5750
Fax: (260) 425-5755
Mailing address: 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 01041905 (IN)

Other Pediatrics providers in Indiana →

Pediatric Infectious Diseases Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0208X Licence 01041905 (IN)

Registry record

NPI: 1013936814
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2006
Record last updated: 23 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.