David M Dyck MD

NPI 1053303479 - Family Medicine - 207Q00000X

NPI Details
NPI 1053303479
Gender Male
Enumeration Date 08/22/2005
Last Updated 12/13/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
ELKHART IN, 46514-7673, US
Phone (574) 264-9635
Fax (574) 262-0398
Business Location
PO BOX 1887
ELKHART IN, 46515-1887, US
Phone (574) 389-0542
Fax (574) 522-8505
Taxonomy Code 207Q00000X
License State Ohio
License Number 35085052
Remove 1053303479 NPI Number

According to our database, Dr. David M Dyck MD NPI is 1053303479, taxonomy code is 207Q00000X and license number is 35085052, license state is located at Ohio. David M Dyck MD physically located at 3301 County Road 6 E, Elkhart IN, 46514-7673. NPI Number David M Dyck MD has the Individual type.

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1053303479 NPI number is provided on an as is basis without warranty of any kind. 1053303479 is maintained by the National Plan & Provider Enumeration System. The contents of David M Dyck MD are for informational purposes only.