Individual
DR. DAVID W DICKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-4011
(207) 662-6392
Mailing address
PO BOX 265, YARMOUTH, ME 04096
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
1104
ME
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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