Dr. Michael M Dickerson, M.D.
Emergency Medicine in Parkersburg, WV. Individual provider (NPI-1).
NPI number1073512059
StatusActive
Last updated in NPPESJul 20, 2010
Details
- NPI
- 1073512059
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael M Dickerson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2005
- Last updated
- Jul 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 200001115 | NC | Yes |
Practice location
800 Garfield AveHealing Center At Ccmh
Parkersburg, WV 26101-5340
Phone 304-424-2228 · Fax 304-420-7128
Mailing address
1602 Greenmont Hills DrVienna, WV 26105-3292
Phone 304-424-2228 · Fax 304-420-7128
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