Organization
WILLIAM DICKIESON DPM PC
Active
Other names
Premier Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX FAWAZ (MANAGER)
(248) 219-0323
Entity
Organization
Contact information
Practice address
1213 MASON ST, DEARBORN, MI 48124-2841
(313) 561-2446
(313) 561-7299
Mailing address
1213 MASON ST, DEARBORN, MI 48124-2841
(313) 561-2446
(313) 561-7299
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
5901001040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120106
—
MI
Enumeration date
07/17/2006
Last updated
02/23/2023
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