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Individual

DIONNE SERENA DICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
29255 NORTHWESTERN HWY, STE 200, SOUTHFIELD, MI 48034-5741
(248) 355-2852
(248) 355-2853
Mailing address
29255 NORTHWESTERN HWY, STE 200, SOUTHFIELD, MI 48034-5741
(248) 355-2852

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301074170
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4622116
MI
Enumeration date
07/31/2006
Last updated
08/02/2016
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