Individual
MICHELLE DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 W 14TH ST, BLOOMINGTON, IN 47404-3349
(812) 602-8382
Mailing address
1015 W 14TH ST, BLOOMINGTON, IN 47404-3349
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002023A
IN
Other
Enumeration date
01/28/2015
Last updated
08/26/2025
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