Individual
DR. JOHN HENRY DICKERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
830 E 4TH ST, SUITE 5, ROYAL OAK, MI 48067-2800
(248) 584-4222
(248) 584-2225
Mailing address
830 E 4TH ST, SUITE 5, ROYAL OAK, MI 48067-2800
(248) 584-4222
(248) 584-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006942
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4177350
—
MI
01
—
950F353760
BCBS
MI
Enumeration date
07/07/2006
Last updated
07/08/2007
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