Dickinson County Healthcare System

Organization Active
NPI 1154613594
Pediatric Neurodevelopmental Disabilities Physician Iron Mountain, MI

NPI 1154613594 belongs to Dickinson County Healthcare System, a pediatric neurodevelopmental disabilities physician with a practice location in Iron Mountain, MI. The NPI was issued on May 4, 2011, and the record was last updated in NPPES on May 4, 2011. The record lists 4 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008X (MI)
Pediatrics Physician 208000000X (MI)
Neurology Physician 2084N0400X (MI)
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X (MI)

Practice location

1711 S Stephenson Ave
Suite 230
Iron Mountain, MI 49801-3639
Phone: (906) 774-1313

Local context

Active NPPES records list 1 provider with pediatric neurodevelopmental disabilities physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 15 in Michigan and 362 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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