Individual
CHANAE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 W. 13 MILE RD., ROYAL OAK, MI 48073
(248) 551-0570
Mailing address
676 N SAINT CLAIR ST STE 1400, CHICAGO, IL 60611-2951
(312) 695-1292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103148
MI
2085N0700X
Neuroradiology Physician
Primary
036.145619
IL
Other
Enumeration date
05/31/2013
Last updated
06/22/2018
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