Individual provider · Type 1 NPI

Emily Claire Dickinson, PA

Surgical Physician Assistant · St. Joseph, MI

NPI number 1780418400 Active

Practice location

1234 Napier Ave
St. Joseph, MI 49085-2112

Mailing address

2715 Willa Dr
St. Joseph, MI 49085-2542

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601012689 (MI)
Surgical Physician Assistant Primary 363AS0400X5601012689 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1780418400

Emily Claire Dickinson, PA's National Provider Identifier is 1780418400, issued on Aug 27, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Joseph, MI. The record was last updated on Dec 30, 2024.