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Search › Indiana › Sports Medicine (Psychiatry & Neurology) Physician

Jonathan Wicks, ATC, LAT, M.ED

NPI 1003341918 · on the registry since 2017 · sole proprietor

Practice

Address
1001 E 17th St
Bloomington, IN 47408
Phone
(812) 855-7920
Organisation at this address
Athletico, Ltd.
The Trustees Of Indiana University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
Sports Medicine (Psychiatry & Neurology) Physician
2084S0010X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana