Max Robert Dickerson, ATC
Athletic Trainer · Wayne, MI
Practice location
3999 Venoy RdWayne, MI 48184-1485
- Phone
- (734) 727-0440
NPI record
- NPI
- 1205339728
- Entity type
- Individual (Type 1)
- Enumeration date
- March 11, 2018
- Last updated
- March 11, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
L946620 | MI |
Mailing address
15905 Foch StLivonia, MI 48154-3485
- Phone
- (248) 872-9226
About Max Dickerson
Max Robert Dickerson, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3999 Venoy Rd, Wayne, MI 48184-1485. The NPI number 1205339728 was assigned on March 11, 2018 and the record was last updated on March 11, 2018.
Max Dickerson lists a license in the registry: #L946620 (MI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Max Robert Dickerson, ATC?
The NPI number is 1205339728.
What is the phone number of Max Dickerson?
The phone number listed for the practice location is (734) 727-0440.
Where is Max Dickerson located?
3999 Venoy Rd, Wayne, MI 48184-1485.
What is the taxonomy code for Max Dickerson?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Wayne
- Susan Christine Webb, ATC3919 Gloria St