Individual
MICHAEL D. DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 HIGHWAY 31 S, DECATUR, AL 35603-1510
(256) 306-1330
(256) 306-1335
Mailing address
PO BOX 5250, DECATUR, AL 35601-0250
(256) 306-1330
(256) 306-1335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21873
AL
207RR0500X
Rheumatology Physician
21873
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51541597
BLUE CROSS BLUE SHIELD
AL
01
—
51541598
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/13/2006
Last updated
03/18/2014
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