Individual
MICHAEL A DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W IRONWOOD DR, STE 101, COEUR D ALENE, ID 83814-2666
(208) 667-2541
(208) 664-1173
Mailing address
700 W IRONWOOD DR, STE 101, COEUR D ALENE, ID 83814-2666
(208) 667-2541
(208) 664-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3629
ID
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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