Individual
KING DAVID DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6248 LAKELAND AVE N, SUITE 211, BROOKLYN PARK, MN 55428-2986
(763) 245-1786
Mailing address
6248 LAKELAND AVE N, SUITE 211, BROOKLYN PARK, MN 55428-2986
(763) 245-1786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 210393-4
MN
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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