Individual
MRS. STACY M DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
20340 195TH AVE, BIG RAPIDS, MI 49307-9398
(231) 408-7491
Mailing address
20340 195TH AVE, BIG RAPIDS, MI 49307-9398
(231) 408-7491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704310558
MI
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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