Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAX ROBERT DICKERSON, ATC
ActiveMAX ROBERT DICKERSON, ATC is a Athletic Trainer healthcare provider located in WAYNE, Michigan. NPI 1205339728 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WAYNE, MI
Registration Details
- NPI Number
- 1205339728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2018 (8.4178445863098 yrs)
- Last Updated
- Mar 11, 2018
- License
-
L946620 (MI)
Practice Information
- Address
-
3999 VENOY RDWAYNE, MI, 481841485Browse MI providers · Browse ZIP 48184
- Phone
- 7347270440
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WAYNE, MI
| Name | Credential | NPI |
|---|---|---|
| SUSAN CHRISTINE WEBB | ATC | 1326555228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.