Doctor Name: | DR. MICHAEL PHILIP DICK |
NPI Number: | 1013936814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01041905 |
Business Practice Address: | 11123 Parkview Plaza Dr Suite 102 Fort Wayne, IN - 468451707 |
Business Phone Number: | 2604830688 |
Business Fax Number: | 2604830798 |
Mailing Address: | 11123 Parkview Plaza Dr, Ste 102 FORT WAYNE |
State: | IN |
Postal Code: | 468451707 |
Phone Number: | 2606726750 |
Fax Number: | 2606726759 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0208X |
License Number: | 01041905 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Infectious Diseases |
Taxonomy Definition: | A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |