Dr. Michael Raymond Dix, MD
Surgery, Surgical Critical Care in Detroit, MI. Individual provider (NPI-1).
NPI number1376104331
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1376104331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Raymond Dix
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2019
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 4301514617 | MI | Yes |
Practice location
2799 W Grand BlvdDetroit, MI 48202-2608
Phone 313-916-2600
Mailing address
2799 W Grand BlvdDetroit, MI 48202-2608
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