| Organization Name: | WILLIAM DICKIESON DPM PC |
| NPI Number: | 1023035748 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM H DICKIESON (PRESIDENT) |
| Mailing Address: | 1213 Mason St Dearborn |
| State: | MI US |
| Postal Code: | 481242841 |
| Phone Number: | 3135612446 |
| Fax Number: | 3135617299 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 08/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 5901001040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |