Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Other names
Dickinson Medical Services at Bayside Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HENDERSON (PHYSICIAN BILLING SUPERVISOR)
(906) 776-5665
Entity
Organization
Contact information
Practice address
2001 MINNEAPOLIS AVE, SUITE E, GLADSTONE, MI 49837-2060
(906) 428-2000
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/10/2012
Last updated
08/24/2012
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