Organization · Type 2 NPI
Michael M. Dickerson, MD
Emergency Care Clinic/Center · Vienna, WV
NPI number
1912148164
Active
Practice location
1602 Greenmont Hills Dr
Vienna, WV 26105-3292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Care Clinic/Center Primary | 261QE0002X | None listed |
Emergency Care Clinic/Center: Definition to come...
About NPI 1912148164
Michael M. Dickerson, MD's National Provider Identifier is 1912148164, issued on Mar 18, 2009. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Vienna, WV. The record was last updated on Mar 18, 2009.