Dolan, Michelle Marie
Dolan, Michelle Marie is an individual health care provider with primary practice located at 420 Delaware Street Se, 760 Mayo Memorial Building University Of Minnesota Physicians, Minneapolis MN 55455. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Molecular Genetics, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Molecular Genetics is her primary health care specialty. Dolan, Michelle Marie can be contacted via phone (612) 626-0622.Contact Information
Primary practice address
420 Delaware Street Se, 760 Mayo Memorial Building University Of Minnesota Physicians
Minneapolis MN 55455
Phone: (612) 626-0622
Fax: (612) 626-2696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cytogenetic | 207SC0300X | 42857 | Minnesota |
| Allopathic & Osteopathic Physicians / Clinical Molecular Genetics | 207SG0203X | 42857 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 42857 | Minnesota |
Profile Details
| NPI number | 1033140223 |
|---|---|
| LBN Legal business name | Dolan, Michelle Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | May 11th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033140223 | NPPES |
| Minnesota | MEDICAID | 160147400 | |
| Minnesota | Other | HP41076 | |
| Minnesota | Other | 140155 | |
| Minnesota | Other | 009A5DO | |
| Minnesota | Other | 1131521 | |
| Minnesota | Other | 1025646 | |
| Minnesota | Other | 11-00106 |
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