Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Other names
Dickinson Family Practice - Main Campus
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA R HENDERSON (PHYSICIAN BILLING SUPERVISOR)
(906) 774-1313
Entity
Organization
Contact information
Practice address
1711 S STEPHENSON AVE STE 205, IRON MOUNTAIN, MI 49801-3649
(906) 774-1313
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/30/2019
Last updated
02/08/2019
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