Individual
KENNETH WAYNE DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(612) 873-6963
Mailing address
701 PARK AVENUE, HENNEPIN COUNTY MEDICAL CENTER, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036145260
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
57200
MN
Other
Enumeration date
04/25/2012
Last updated
12/19/2024
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