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Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Other names
Dickinson Medical Services at Bayside Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HENDERSON (PHYSICIAN BILLING SUPERVISOR)
(906) 776-5665
Entity
Organization
Contact information
Practice address
2001 MINNEAPOLIS AVE, SUITE E, GLADSTONE, MI 49837-2060
(906) 428-2000
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/10/2012
Last updated
08/24/2012
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