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Dr. Hallum Kirkwoood Dickens IV, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Verona, Wisconsin
NPI 1538691696

Hallum Kirkwoood Dickens IV is an Addiction Medicine (Psychiatry & Neurology) Physician based in Middleton, WI and is specialized in Addiction Medicine. Hallum Kirkwoood Dickens IV practices in Verona, WI and has the professional credentials of MD. The NPI Number for Hallum Kirkwoood Dickens IV is 1538691696 and holds a License No. (Wisconsin).

The current practice location address for Hallum Kirkwoood Dickens IV is 100 N Nine Mound Rd, Verona, WI and can be reached out via phone at 608-845-9531.

Location: 100 N Nine Mound Rd, Verona, WI, 53562-5531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538691696
Provider Name
Hallum Kirkwoood Dickens IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 N Nine Mound Rd, Verona, WI, 53562-5531
Phone Number
608-845-9531
Fax Number
Provider Enumeration Date
03/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Nine Mound Rd
City
Verona
State
Wisconsin
Zip
53593-1032
Phone Number
608-845-9531
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Nine Mound Rd
City
Verona
State
Wisconsin
Zip
53593-1032
Phone Number
608-845-9531
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2018-02244 (North Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
77275 (Wisconsin)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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