Individual
MS. LOU ANNE DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4999 SKYLINE DR, PERRINTON, MI 48871-9671
(989) 682-4439
Mailing address
4999 SKYLINE DR, PERRINTON, MI 48871-9671
(989) 682-4439
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007483
MI
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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