Michael John Dickman DDS

NPI 1063616993 - Dentist - 1223G0001X

NPI Details
NPI 1063616993
Gender Male
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1414 S OAK AVE SUITE FIVE
OWATONNA MN, 55060, US
Phone (507) 451-2226
Fax
Business Location
25123 885TH AVE
AUSTIN MN, 55912-7381, US
Phone (507) 438-4032
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D12425
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According to our database, Dr. Michael John Dickman DDS NPI is 1063616993, taxonomy code is 1223G0001X and license number is D12425, license state is located at Minnesota. Michael John Dickman DDS physically located at 1414 S Oak Ave Suite Five, Owatonna MN, 55060. NPI Number Michael John Dickman DDS has the Individual type.

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1063616993 NPI number is provided on an as is basis without warranty of any kind. 1063616993 is maintained by the National Plan & Provider Enumeration System. The contents of Michael John Dickman DDS are for informational purposes only.