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Contact Information

TIMOTHY DICKINSON, MD
551 LINN STREET
ALLEGAN, MI49010
 Phone: 269-686-5800
 Fax: 269-686-5899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY DICKINSON · (Male)

NPI # 1316928161
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2005
Last updated 12/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # TD035680
  • MI Medicaid 1276855
  • MI Other 0800307672 BCBS MI PROV #
  • MI Other P53504 BLUE CARE NETWORK
  • MI Other 5714 COMMUNITY CHOICE OF MI
  • MI Other 15403 HEALTH PLAN OF MI
  • MI Other 01-30456 PHP PROV #
  • MI Other 080069543 RAILROAD MEDICARE
  • MI Other P00361393 RR MEDICARE
  • MI Other TD035680 STATE LICENSE #
  • MI Other 1826150 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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