Cheryl Dionne, MD
Individual provider Active NPI Emergency Medicine Physician · Manistee, MI
NPI 1679617013 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1679617013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301057387 (MI)
- Practice address
- 1465 E Parkdale Ave
Manistee, MI 49660-9709 - Phone
- (231) 398-1000
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057387 | MI | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301057387 | MI | Yes |
Addresses
Primary practice location
1465 E Parkdale Ave
Manistee, MI 49660-9709
Mailing address
1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI43057387 | Other | MI | BLUE CROSS PIN |
| CD057387 | Other | MI | BLUE SHIELD PIN |
Other providers in Manistee, MI
- Jessica Jo Dawson
- Jacob R Deboni
- Christina Delacruz
- Jessica Derosia
- Michael Donald Dincau
- Dale M Dixon
- Garrett Oreste Dixon
- Julie K Dixon
- Kathy M Dixon
- Peter Anthony Dobrzelewski
All providers in Manistee, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.