Individual
JUSTIN BRIGHAM DIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 48105-9484
(734) 936-5738
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301075913
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301075913
MI
Other
Enumeration date
03/29/2007
Last updated
06/17/2009
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