Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 20538 | NC |
N | 208600000X | Surgeon | 20538 | NC |
N | 2086S0129X | Vascular Surgeon | 20538 | NC |
N | 2086X0206X | Surgical Oncologist | 20538 | NC |
NPI | 1326001611 |
---|---|
Provider Name | Dr. Michael W Dickinson |
First Address | Hickory, NC 28601-6126 |
Second Address | Hickory, NC 28601-5036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
279897 | MAMSI (01) | NC |
28487 | BLUE CROSS BLUE SHIELD NC (01) | NC |
657764 | FIRST HEALTH (01) | NC |
8928487 | (05) | NC |
9832 | PARTNERS (01) | NC |
A8808 | MEDCOST (01) | NC |
C83534 | (02) | NC |