Individual
DR. MICHAEL JOHN DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1414 S OAK AVE SUITE FIVE, OWATONNA, MN 55060
(507) 451-2226
Mailing address
25123 885TH AVE, AUSTIN, MN 55912-7381
(507) 438-4032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12425
MN
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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