Nicole Ellen Dolan D.O.

NPI 1346464575 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1346464575
Gender Female
Enumeration Date 04/12/2007
Last Updated 09/18/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
12150 30 MILE RD
STE 201
WASHINGTON TOWNSHIP MI, 48095-2035, US
Phone (586) 336-2390
Fax (586) 336-2381
Business Location
16360 26 MILE ROAD
MACOMB TOWNSHIP MI, 48042, US
Phone (586) 336-2390
Fax (586) 372-3979
Toxanomy
Taxonomy Code 207V00000X
License State Michigan
License Number 5101016492
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According to our database, Nicole Ellen Dolan D.O. NPI is 1346464575, taxonomy code is 207V00000X and license number is 5101016492, license state is located at Michigan. Nicole Ellen Dolan D.O. physically located at 12150 30 Mile Rd, Washington Township MI, 48095-2035. NPI Number Nicole Ellen Dolan D.O. has the Individual type.

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1346464575 NPI number is provided on an as is basis without warranty of any kind. 1346464575 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Ellen Dolan D.O. are for informational purposes only.