Individual
DR. MACKENZIE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101025349
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101024245
MI
Other
Enumeration date
06/27/2018
Last updated
07/01/2021
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