Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Marc E Dicklin, PA-C

Individual provider Physician Assistant · NPI 1205837408

Mr. Marc E Dicklin, PA-C is a Physician Assistant in Dubuque, Iowa. Qualified in 1999, 27 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
27
Licensed in
IA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Langworthy St
Dubuque, IA 52001-7313
Phone: (563) 584-3455
Fax: (563) 584-3314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001351 (IA)

Record details

NPI number1205837408
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESJanuary 26, 2015
Mailing address1500 Associates Dr, Dubuque, IA 52002-2201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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