DR. Susan M Dimick, M.D.

NPI #1083663611 in Edmond, Oklahoma

Provider Information

NPI Number: 1083663611
Entity Type: Individual
Name: DR. Susan M Dimick, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 10, 2006
Last Updated: Jan 5, 2011

Practice Location

Address: 3317 E MEMORIAL RD
Address 2: SUITE 103
City: Edmond
State: Oklahoma
ZIP Code: 73013-7105
Phone: (405) 475-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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