Provider Demographics
NPI:1700837150
Name:BICK, DAVID P (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:BICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:701 MCMILLIAN WAY NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2922
Mailing Address - Country:US
Mailing Address - Phone:256-327-9640
Mailing Address - Fax:256-327-9699
Practice Address - Street 1:701 MCMILLIAN WAY NW
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2922
Practice Address - Country:US
Practice Address - Phone:256-327-9640
Practice Address - Fax:256-327-9699
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43761207SG0201X
ALMD.34482207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
008006261VOtherHUMANA
008006261VOtherHUMANA
WI0055 60-255Medicare PIN
008006261VOtherHUMANA
F39837Medicare UPIN