Individual
REBECCA K ANDREWS-DICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
Mailing address
2537 MOMENTUM PL, CHICAGO, IL 60689-5325
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301085713
MI
207P00000X
Emergency Medicine Physician
4301085713
MI
207P00000X
Emergency Medicine Physician
Primary
Q7527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00644988
RAILROAD MEDICARE
MI
Enumeration date
04/18/2007
Last updated
02/17/2020
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