Individual
ALEXANDER TIMOTHY DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 LAFAYETTE AVE, BAY CITY, MI 48708-7854
(989) 893-5200
Mailing address
500 LAFAYETTE AVE, BAY CITY, MI 48708-7854
(989) 893-5200
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
P041184
—
183700000X
Pharmacy Technician
Primary
5303039917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516581120
—
MI
Enumeration date
01/07/2022
Last updated
01/07/2022
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