Individual
DAVID KIRK DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 588-7099
(763) 522-2222
Mailing address
28 NATHAN LN N, PLYMOUTH, MN 55441-6306
(763) 588-7099
(763) 522-2222
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
52435
MN
208D00000X
General Practice Physician
Primary
52435
MN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20192
RESIDENT PERMIT
MN
Enumeration date
05/05/2008
Last updated
02/15/2024
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