OrganizationActive
Dickinson County Healthcare System
NPI 1154613594 · Pediatric Neurodevelopmental Disabilities Physician · Iron Mountain, MI
Provider details
- NPI number
- 1154613594
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Henderson, Physician Billing Supervisor(906) 776-5665
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1711 S Stephenson Ave
Suite 230
Iron Mountain, MI 49801-3639
Phone: (906) 774-1313
Fax: (906) 776-5639
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 549
Iron Mountain, MI 49801-0549
Other names (DBA / former)
- Doing business as
- Dickinson Telemedicine
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2011-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.