| NPI | 1154613594 |
|---|---|
| Doing Business As | DICKINSON TELEMEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALICIA HENDERSON Physician Billing Supervisor 906-776-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |