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Mrs. Lisa M Dodge
Student in an Organized Health Care Education/Training Program in Canton, Michigan
NPI 1447567458

Lisa M Dodge is a Student in an Organized Health Care Education/Training Program based in Wixom, MI. Lisa M Dodge practices in Canton, MI. The NPI Number for Lisa M Dodge is 1447567458 and holds a License No. (Michigan).

The current practice location address for Lisa M Dodge is 43825 Michigan Ave, Canton, MI and can be reached out via phone at 734-397-3088. You can also correspond with Lisa M Dodge through the mailing address at 1068 TRAILSIDE BLVD, WIXOM, MI - 48393-1587 (mailing address contact number: 248-926-0871).

Location: 43825 Michigan Ave, Canton, MI, 48393-1587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447567458
Provider Name
Lisa M Dodge
Credential
Provider Entity Type
Individual
Gender
Female
Address
43825 Michigan Ave, Canton, MI, 48393-1587
Phone Number
734-397-3088
Fax Number
Provider Enumeration Date
09/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
43825 Michigan Ave
City
Canton
State
Michigan
Zip
48188-2551
Phone Number
734-397-3088
Fax Number
person
Provider Business Mailing Address Details
Address
1068 Trailside Blvd
City
Wixom
State
Michigan
Zip
48393-1587
Phone Number
248-926-0871
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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