Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Other names
Dickinson Telemedicine
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HENDERSON CPC, CCP (PHYSICIAN BILLING SUPERVISOR)
(906) 776-5665
Entity
Organization
Contact information
Practice address
1711 S STEPHENSON AVE, SUITE 230, IRON MOUNTAIN, MI 49801-3639
(906) 774-1313
(906) 776-5639
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
MI
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
MI
2084N0400X
Neurology Physician
—
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
MI
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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