Individual
DR. MICHAEL A DOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3408 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2312
(952) 924-1053
(952) 924-0254
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29325
MN
Other
Enumeration date
07/19/2005
Last updated
03/11/2021
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