Provider Demographics
NPI:1417037938
Name:DICK, AMANDA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MARIE
Last Name:DICK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:SCHNECK PROFESSIONAL BUILDING
Mailing Address - Street 2:411 WEST TIPTON STREET
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274
Mailing Address - Country:US
Mailing Address - Phone:812-519-2388
Mailing Address - Fax:812-519-3182
Practice Address - Street 1:SCHNECK PROFESSIONAL BUILDING
Practice Address - Street 2:411 WEST TIPTON STREET
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274
Practice Address - Country:US
Practice Address - Phone:812-519-2388
Practice Address - Fax:812-519-3182
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-08-12
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Provider Licenses
StateLicense IDTaxonomies
IN01068465A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery