Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NANCY N DODGE, MD
ActiveNeurodevelopmental Disabilities · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1801849138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2006 (19.929616172959 yrs)
- Last Updated
- Oct 7, 2022
- Licenses
-
4301087152 (MI)4301087152 (MI)
Practice Information
- Address
-
35 MICHIGAN ST NESUITE 3003GRAND RAPIDS, MI, 495032514Browse MI providers · Browse ZIP 49503
- Phone
- 6162672009
- Fax
- 6162672010
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
- Additional Specialty
- Neurodevelopmental Disabilities
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.