Organization
ROBERT H DICKASON D O P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H DICKASON D.O. (PRESIDENT)
(734) 676-5353
Entity
Organization
Contact information
Practice address
5400 FORT ST, SUITE 210, TRENTON, MI 48183-4632
(734) 676-5353
(734) 676-5524
Mailing address
5400 FORT ST, SUITE 210, TRENTON, MI 48183-4632
(734) 676-5353
(734) 676-5524
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101006962
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710979869
—
MI
Enumeration date
08/02/2011
Last updated
07/22/2014
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