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1457315129
GERALD DWIGHT MICK
CARMEL, IN
NPI
1457315129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01047173A)
Enumeration Date
2006-04-12
Last Update Date
2020-12-16
Business Address
GERALD DWIGHT MICK MD
12400 N MERIDIAN ST STE 100
CARMEL, IN 46032-4601
Phone number: 317-582-8900
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Mailing Address
GERALD DWIGHT MICK MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number:
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