Dickerson, Marianne Tison

Dickerson, Marianne Tison is an individual health care provider with primary practice located at 7985 S Mackinaw Trl , Cadillac MI 49601-8111. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dickerson, Marianne Tison can be contacted via phone (231) 876-6100.

Contact Information

Primary practice address
7985 S Mackinaw Trl Cadillac MI 49601-8111
Phone: (231) 876-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 06634 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704129416 Michigan

Profile Details

NPI number 1609872324
LBN Legal business name Dickerson, Marianne Tison
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609872324 NPPES
Michigan MEDICAID 4934721
Michigan MEDICAID 2286413

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