Michael David Dick, DO

NPI #1912345430 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1912345430
Entity Type: Individual
Name: Michael David Dick, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 111 BREWSTER ST
Address 2: FCC TEAM B
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-4474
Phone: (401) 729-2206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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