| Jonathan Wicks, ATC, LAT, MED | |
|
1001 E 17th St, Bloomington, IN 47408-1590 | |
| (812) 855-7920 | |
| Not Available |
| Full Name | Jonathan Wicks |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Sports Medicine |
| Location | 1001 E 17th St, Bloomington, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003341918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0010X | Psychiatry & Neurology - Sports Medicine | 36002506A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Wicks, ATC, LAT, MED 2728 S Adams St, Unit 5, Bloomington, IN 47403-3296 Ph: (574) 250-9007 | Jonathan Wicks, ATC, LAT, MED 1001 E 17th St, Bloomington, IN 47408-1590 Ph: (812) 855-7920 |
Dr. James G Marencik, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109 | |
Dr. David Austin Duncan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5630 Fax: 812-353-5441 | |
Alvin Perry Griffith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-5603 Fax: 812-353-3451 | |
Marina Bota, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 | |
Abdulrahim Ismail, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5222 Fax: 812-353-5262 | |
Joel Harold Griffith, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 |