| NPI | 1841534484 |
|---|---|
| Doing Business As | DICKINSON ENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALICIA HENDERSON Physician Billing Supervisor 906-776-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-03-21 |