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Jonathan Wicks, ATC,LAT,MED
Sports Medicine (Psychiatry & Neurology) Physician in Bloomington, Indiana
NPI 1003341918

Jonathan Wicks is a Sports Medicine (Psychiatry & Neurology) Physician based in Bloomington, IN and is specialized in Sports Medicine. Jonathan Wicks practices in Bloomington, IN and has the professional credentials of ATC,LAT,MED. The NPI Number for Jonathan Wicks is 1003341918 and holds a License No. 36002506A (Indiana).

The current practice location address for Jonathan Wicks is 1001 E 17Th St, Bloomington, IN and can be reached out via phone at 812-855-7920.

Location: 1001 E 17Th St, Bloomington, IN, 47403-3296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003341918
Provider Name
Jonathan Wicks
Credential
ATC,LAT,MED
Provider Entity Type
Individual
Gender
Male
Address
1001 E 17Th St, Bloomington, IN, 47403-3296
Phone Number
812-855-7920
Fax Number
Provider Enumeration Date
04/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 E 17Th St
City
Bloomington
State
Indiana
Zip
47408-1590
Phone Number
812-855-7920
Fax Number
person
Provider Business Mailing Address Details
Address
1001 E 17Th St
City
Bloomington
State
Indiana
Zip
47408-1590
Phone Number
812-855-7920
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Sports Medicine
Taxonomy
2084S0010X
License No.
36002506A (Indiana)
Definition
A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.
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