Provider Demographics
NPI:1073726873
Name:DODDS, MICHAEL JAMES (APNP, RN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JAMES
Last Name:DODDS
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Gender:M
Credentials:APNP, RN
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Mailing Address - Street 1:2419 MORSE ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0221
Mailing Address - Country:US
Mailing Address - Phone:608-758-9300
Mailing Address - Fax:608-758-9400
Practice Address - Street 1:2419 MORSE ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0221
Practice Address - Country:US
Practice Address - Phone:608-758-9300
Practice Address - Fax:608-758-9400
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2013-03-20
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Provider Licenses
StateLicense IDTaxonomies
WI2599-33363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology