Healthcare Provider Details

I. General information

NPI: 1235182643
Provider Name (Legal Business Name): RICHARD M. HILKER, DPM, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 05/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10323 DAWSONS CREEK BLVD BLDG. 10-C
FORT WAYNE IN
46825-1910
US

IV. Provider business mailing address

10323 DAWSONS CREEK BLVD BLDG. 10-C
FORT WAYNE IN
46825-1910
US

V. Phone/Fax

Practice location:
  • Phone: 260-490-3668
  • Fax:
Mailing address:
  • Phone: 260-490-3668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD HILKER
Title or Position: PRESIDENT
Credential: DPM
Phone: 260-490-3668