NPI | 1295167880 |
---|---|
Doing Business As | DICKSON PSYCHIATRIC SERVICES, PLC |
Entity Type | Organization |
Authorized Contact | TODD ALAN DICKSON Nurse Practitioner 218-256-7570 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP-1591) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2023-09-06 |