Organization · Type 2 NPI

Dickinson County Healthcare System

Pediatric Neurodevelopmental Disabilities Physician · Iron Mountain, MI

NPI number 1154613594 Active

Practice location

1711 S Stephenson Ave, Suite 230
Iron Mountain, MI 49801-3639

Call (906) 774-1313 Map

Fax (906) 776-5639

Mailing address

PO Box 549
Iron Mountain, MI 49801-0549

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008XNone listed
Neurology Physician 2084N0400XNone listed
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XNone listed

Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

40 other providers at this address

About NPI 1154613594

Dickinson County Healthcare System's National Provider Identifier is 1154613594, issued on May 4, 2011. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Iron Mountain, MI. The record was last updated on May 4, 2011.