Individual
MICAELA M. DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 NORTH MARIO CAPECCHI DRIVE, 3RD FLOOR NORTH, SALT LAKE CITY, UT 84112
(801) 581-7606
Mailing address
30 NORTH MARIO CAPECCHI DRIVE, 3RD FLOOR NORTH, SALT LAKE CITY, UT 84112
(801) 581-7606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14240686-1205
UT
Other
Enumeration date
03/22/2024
Last updated
09/25/2025
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