| Doctor Name: | DR. JOHN BAISTAD DOLVEN |
| NPI Number: | 1487022489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101005203 |
| Business Practice Address: | 3441 Lapeer Rd Flint, MI - 48503 |
| Business Phone Number: | 8108139579 |
| Business Fax Number: | |
| Mailing Address: | 3441 Lapeer Rd, FLINT |
| State: | MI |
| Postal Code: | 48503 |
| Phone Number: | 8108139579 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2015 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101005203 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |