Individual
CAROLYN JANE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28303 DEQUINDRE RD STE 100, MADISON HEIGHTS, MI 48071-3040
(248) 658-1116
Mailing address
50072 LUDWIG CT, SHELBY TOWNSHIP, MI 48317-6346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704273522
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2016
Last updated
11/06/2025
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