Individual
DR. BRANDON S DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-4306
Mailing address
221 N CELIA AVE, ATTN: DEBERA BARKER, MUNCIE, IN 47303-4609
(765) 282-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01063659A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200872010
—
IN
01
—
P00466461
RR MEDICARE
IN
Enumeration date
05/23/2007
Last updated
10/31/2011
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