Lisa Grill Dodson MD

NPI 1053328989 - Family Medicine - 207Q00000X

NPI Details
NPI 1053328989
Gender Female
Enumeration Date 08/02/2006
Last Updated 12/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2720 PLAZA DR
SUITE 1100
WAUSAU WI, 54401-4158, US
Phone (715) 847-2472
Fax
Business Location
2720 PLAZA DR
SUITE 1100
WAUSAU WI, 54401-4158, US
Phone (715) 847-2472
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number MD16104
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According to our database, Lisa Grill Dodson MD NPI is 1053328989, taxonomy code is 207Q00000X and license number is MD16104, license state is located at Oregon. Lisa Grill Dodson MD physically located at 2720 Plaza Dr, Wausau WI, 54401-4158. NPI Number Lisa Grill Dodson MD has the Individual type.

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1053328989 NPI number is provided on an as is basis without warranty of any kind. 1053328989 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Grill Dodson MD are for informational purposes only.