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Contact Information

MARIANNE T DICKERSON, CNM
7985 S MACKINAW TRL
CADILLAC, MI49601-8111
 Phone: 231-876-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for MARIANNE T DICKERSON · (Female)

NPI # 1609872324
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 06/27/2005
Last updated 11/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704129416
  • OH License # 06634
  • MI Medicaid 4934721
  • OH Medicaid 2286413
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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