Individual
KIRSTEN DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12327 STRATFORD DR, CLIVE, IA 50325-8148
(515) 224-7088
(515) 224-9228
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.139357
OH
207N00000X
Dermatology Physician
Primary
4301504690
MI
207N00000X
Dermatology Physician
R-10964
IA
207ND0101X
MOHS-Micrographic Surgery Physician
4301504690
MI
207R00000X
Internal Medicine Physician
R10695
IA
Other
Enumeration date
06/27/2016
Last updated
06/21/2024
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