Individual
EMILY CLAIRE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 556-1990
Mailing address
2715 WILLA DR, SAINT JOSEPH, MI 49085-2542
(248) 361-7474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601012689
MI
363AS0400X
Surgical Physician Assistant
Primary
5601012689
MI
Other
Enumeration date
08/27/2024
Last updated
12/30/2024
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