Individual
WILLIAM G DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-5111
Mailing address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-5111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23969
MN
Other
Enumeration date
07/24/2006
Last updated
01/18/2012
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