Individual
JAMES BRYAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-4822
Mailing address
1414 W FAIR AVENUE, SUITE 190, MARQUETTE, MI 49855
(906) 225-1321
(906) 228-9371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083794
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316164890
—
MI
01
—
JD083794
BCBS OF MICHIGAN
MI
Enumeration date
04/19/2007
Last updated
06/20/2017
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