Individual
DR. JULIE ANN DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
717 S STATE ST STE 900, FAIRMONT, MN 56031-4400
(507) 238-4949
(507) 238-3365
Mailing address
717 S STATE ST STE 900, FAIRMONT, MN 56031-4400
(507) 238-4949
(507) 238-3365
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
4301058595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440043
MEDICARE PLUS BLUE
MI
01
—
1016065
MCLAREN HEALTH ADVANTAGE
MI
01
—
200000001893
PHP
MI
01
—
2003302131
BCBS/BCN
MI
01
—
4224321
AETNA
MI
05
—
4764980
—
MI
Enumeration date
05/12/2006
Last updated
10/16/2023
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