| Doctor Name: | MR. MICHAEL JAMES DODDS |
| NPI Number: | 1073726873 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APNP, RN |
| License Number: | 2599-33 |
| Business Practice Address: | 2419 Morse St Janesville, WI - 535450221 |
| Business Phone Number: | 6087589300 |
| Business Fax Number: | 6087589400 |
| Mailing Address: | 2419 Morse St, JANESVILLE |
| State: | WI |
| Postal Code: | 535450221 |
| Phone Number: | 6087589300 |
| Fax Number: | 6087589400 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 2599-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |