Individual
DR. STEPHEN DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 N FOSTER ST, MITCHELL, SD 57301-2902
(605) 995-5756
Mailing address
605 N FOSTER ST, MITCHELL, SD 57301-2902
(605) 995-5756
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
23388
NE
2085R0001X
Radiation Oncology Physician
Primary
5511
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660402
—
NE
05
—
7208490
—
SD
01
—
P00259242
RAILROAD MEDICARE
NE
Enumeration date
04/18/2006
Last updated
04/13/2012
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