| Robert W Dixon Jr Md Pc | |
|
1310 Wisconsin Ave Suite 200 Grand Haven MI 49417-2472 | |
| (616) 846-2640 | |
| (616) 846-3110 |
| Full Name | Robert W Dixon Jr Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1310 Wisconsin Ave, Grand Haven, Michigan |
| Authorized Official Name and Position | Robert W Dixon (OWNER) |
| Authorized Official Contact | 6168462640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Dixon Jr Md Pc 1310 Wisconsin Ave Suite 200 Grand Haven MI 49417-2472 Ph: (616) 846-2640 | Robert W Dixon Jr Md Pc 1310 Wisconsin Ave Suite 200 Grand Haven MI 49417-2472 Ph: (616) 846-2640 |
| NPI Number | 1023284304 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023284304 | NPI | - | NPPES |
| 1363656 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301035255 (Michigan) | Primary |
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