NPI 1073512059 · live from the CMS NPI Registry
Michael M Dickerson, M.D.
Emergency Medicine in Parkersburg, WV. National Provider Identifier 1073512059, active.
NPI record
| NPI | 1073512059 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 800 Garfield Ave, Healing Center At Ccmh, Parkersburg, WV 26101 |
| Practice phone | 304-424-2228 |
| Mailing address | 1602 Greenmont Hills Dr, Vienna, WV 26105 |
| Enumerated | July 20, 2005 |
| Last updated | July 20, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 200001115 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.