Clark Bart Dickson in Southfield - Otolaryngology
Clark Bart Dickson - NPI 1770560427
Clark Bart Dickson is a Otolaryngology in Southfield, Michigan. Clark Bart Dickson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Clark Bart Dickson is 1770560427. The last update date is 2012-03-13.
Clark Bart Dickson's current location address is 29201 Telegraph Rd, Southfield, Michigan. You can contact this provider via phone number 2485695985 and fax number 2485693704. The mailing address for Clark Bart Dickson is 29201 Telegraph Rd, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Bart Dickson |
|---|---|
| Address | 29201 Telegraph Rd, Southfield, Michigan |
| Phone Number | 2485695985 |
| Fax Number | 2485693704 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770560427 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2012-03-13 |
Provider Mailing Address Detail
| Address | 29201 Telegraph Rd |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480341331 |
| Phone Number | 2485695985 |
| Fax Number | 2485693704 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | CD046491 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3211330 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clark Bart Dickson by the Centers for Medicare & Medicaid Services?
The Clark Bart Dickson has been issued the NPI (National Provider Identifier) 1770560427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clark Bart Dickson's facilities are geographically located?
The facilities of Clark Bart Dickson are physically situated at the following location: 29201 Telegraph Rd, Southfield, MI, 480341331.
What is Clark Bart Dickson's area of expertise and its corresponding taxonomy classification?
The Clark Bart Dickson's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770560427 to Clark Bart Dickson?
The Centers for Medicare & Medicaid Services originally issued the 1770560427 to Clark Bart Dickson on 2005-12-23.
As of what date were the details related to Clark Bart Dickson most recently updated or revised?
The information pertaining to Clark Bart Dickson, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-13.
NPI Number: 1699778829
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