Provider Demographics
NPI:1851709141
Name:DICKINSON, KAREN (MBBS BSC MD FRCS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:MBBS BSC MD FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 DEERHAVEN LN NE
Mailing Address - Street 2:UNIT 3
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-7323
Mailing Address - Country:US
Mailing Address - Phone:507-319-1264
Mailing Address - Fax:
Practice Address - Street 1:1824 DEERHAVEN LN NE
Practice Address - Street 2:UNIT 3
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-7323
Practice Address - Country:US
Practice Address - Phone:507-319-1264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program