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Individual

JAMES J DICKMAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
N6101 NICHOLS RD, BLACK RIVER FALLS, WI 54615-5604
(715) 284-5580
Mailing address
N6101 NICHOLS RD, BLACK RIVER FALLS, WI 54615-5604
(715) 284-5580

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18148
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31091400
WI
Enumeration date
07/06/2006
Last updated
04/10/2014
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