DR. Gary John Vicik, M.D.

NPI #1295708212 in Belleville, Illinois

Provider Information

NPI Number: 1295708212
Entity Type: Individual
Name: DR. Gary John Vicik, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Feb 9, 2006
Last Updated: May 21, 2012

Practice Location

Address: 3608 W MAIN ST
City: Belleville
State: Illinois
ZIP Code: 62226-6225
Phone: (618) 397-6605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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