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Organization
MICHAEL M. DICKERSON, MD
Active
Organization
MICHAEL M. DICKERSON, MD
Active
Other names
MD Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M. DICKERSON MD (OWNER)
(304) 420-7156
Entity
Organization
Contact information
Practice address
1602 GREENMONT HILLS DR, VIENNA, WV 26105-3292
(304) 420-7156
Mailing address
1602 GREENMONT HILLS DR, VIENNA, WV 26105-3292
(304) 420-7156
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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