Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
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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