Individual
TANNER M DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506-7552
(402) 489-4700
(402) 489-5220
Mailing address
4130 PIONEER WOODS DR STE 1, LINCOLN, NE 68506-7552
(402) 489-4700
(402) 489-5220
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
135.001028
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
385
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135.001028
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
11/16/2018
Last updated
07/15/2021
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