Individual
KATHRYN DOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4570 CO HWY 61, MOOSE LAKE, MN 55767
(218) 425-4491
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(218) 732-2800
(218) 732-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10617
MT
207Q00000X
Family Medicine Physician
Primary
54965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073690418
—
MN
Enumeration date
11/01/2006
Last updated
10/26/2021
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