| NPI | 1417411760 |
|---|---|
| Doing Business As | DICKINSON FAMILY PRACTICE - MAIN CAMPUS |
| Entity Type | Organization |
| Authorized Contact | ALICIA R HENDERSON Physician Billing Supervisor 906-774-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-02-08 |