Individual
MR. ROBERT A DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 HWY 2 E, DEVILS LAKE, ND 58301-0130
(701) 662-4085
(701) 662-6010
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5595
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11630
—
ND
05
—
1568554285
—
MN
01
—
180043931
TRAVELERS MEDICARE
—
01
—
18005266
TRAVELERS MEDICARE
—
01
—
292T7DI
BLUE SHIELD MN
—
Enumeration date
09/29/2006
Last updated
09/23/2025
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