Dr. William Dickieson
Primary Podiatric Medicine
1213 Mason St
Dearborn
, Michigan 48124-2841
Dr. William Dickieson
Primary Podiatric Medicine
1213 Mason St
Dearborn
, Michigan 48124-2841
(313) 561-2446
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. William Dickieson
- 1213 Mason St
- Dearborn, MI
- Zip : 48124-2841
- Phone : (313) 561-2446
Second Address
- Dr. William Dickieson
- 1213 Mason St
- Dearborn, MI
- Zip : 48124-2841
- Phone : (313) 561-2446
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 001040 | MI |
National Provider Identifier
| NPI | 1164480620 |
|---|---|
| Provider Name | Dr. William Dickieson |
| First Address | Dearborn, MI 48124-2841 |
| Second Address | Dearborn, MI 48124-2841 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2120106 | (05) | MI |
| T34317 | (02) | MI |
| WD001040 | BLUE CROSS LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.