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Organization

DICKINSON COUNTY HEALTHCARE SYSTEM

Active
Other names
Dickinson ENT Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA HENDERSON CPC, CCP (PHYSICIAN BILLING SUPERVISOR)
(906) 776-5665
Entity
Organization

Contact information

Practice address
1711 S STEPHENSON AVE, SUITE 320, IRON MOUNTAIN, MI 49801-3639
(906) 776-5850
(906) 776-5808
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
231H00000X
Audiologist
363L00000X
Nurse Practitioner

Other

Enumeration date
11/20/2012
Last updated
03/21/2013
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