Individual
DR. MICHAEL T DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Mailing address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD057401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12034
STATE LICENSE
ND
05
—
2726846
—
MI
01
—
4213795
AETNA
MI
01
—
MD057401
STATE LICENSE
MI
01
—
P64646
BLUE CARE NETWOK
MI
Enumeration date
07/29/2005
Last updated
10/03/2011
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