Provider Demographics
NPI:1770832008
Name:DILLON, JAMES E (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:DILLON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:CMU DEPARTMENT OF PSYCHIATRY
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-583-6926
Mailing Address - Fax:989-583-6994
Practice Address - Street 1:1000 HOUGHTON AVE
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-583-6926
Practice Address - Fax:989-583-6994
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2013-11-26
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Provider Licenses
StateLicense IDTaxonomies
MI43010523022084F0202X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIB48548Medicare UPIN