Michael M Dickerson M.D.

NPI 1073512059 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073512059
Gender Male
Enumeration Date 07/20/2005
Last Updated 07/20/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
800 GARFIELD AVE
HEALING CENTER AT CCMH
PARKERSBURG WV, 26101-5340, US
Phone (304) 424-2228
Fax (304) 420-7128
Business Location
1602 GREENMONT HILLS DR
VIENNA WV, 26105-3292, US
Phone (304) 424-2228
Fax (304) 420-7128
Toxanomy
Taxonomy Code 207P00000X
License State North Carolina
License Number 200001115
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According to our database, Dr. Michael M Dickerson M.D. NPI is 1073512059, taxonomy code is 207P00000X and license number is 200001115, license state is located at North Carolina. Michael M Dickerson M.D. physically located at 800 Garfield Ave, Parkersburg WV, 26101-5340. NPI Number Michael M Dickerson M.D. has the Individual type.

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1073512059 NPI number is provided on an as is basis without warranty of any kind. 1073512059 is maintained by the National Plan & Provider Enumeration System. The contents of Michael M Dickerson M.D. are for informational purposes only.