Individual
DR. ROBERT H DICKASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2674 W JEFFERSON AVE STE 201, TRENTON, MI 48183-2800
(734) 676-5353
(734) 676-5524
Mailing address
6707 38TH AVE N, ST PETERSBURG, FL 33710-1536
(734) 676-5353
(734) 676-5524
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RD006962
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
RD006962
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05820096
BCBS
MI
05
—
2114889
—
MI
Enumeration date
08/16/2005
Last updated
06/09/2025
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