Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Max Robert Dickerson, ATC

Individual provider Athletic Trainer · NPI 1205339728

Max Robert Dickerson, ATC is an Athletic Trainer in Wayne, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3999 Venoy Rd
Wayne, MI 48184-1485
Phone: (734) 727-0440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence L946620 (MI)

Record details

NPI number1205339728
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 11, 2018
Last updated in NPPESMarch 11, 2018
Mailing address15905 Foch St, Livonia, MI 48154-3485

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