Individual
DR. STEPHEN L DICKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 SW COLLEGE AVE, TOPEKA, KS 66606-1684
(785) 233-9643
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8172
(699) 854-5352
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01058168A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-49632
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301114501
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
43991
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000701004
ANTHEM- CTS
KY
01
—
000057094V
HUMANA- CTS
KY
05
—
200455130
—
IN
05
—
200455130A
—
IN
01
—
4001605
CIGNA- CTS
KY
01
—
50031859
PASSPORT- CTS
KY
05
—
64076821
—
KY
Enumeration date
07/08/2005
Last updated
10/09/2024
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