Individual
DAVID S DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-45793
IA
2080P0207X
Pediatric Hematology & Oncology Physician
4301079456
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD-45793
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3504111911
BCBSM
MI
05
—
4395466
—
MI
Enumeration date
01/26/2006
Last updated
12/10/2018
Update your record
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