Individual
BRIAN DOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2797 SPRING ARBOR RD STE B, JACKSON, MI 49203-3897
(517) 962-4437
(517) 962-5634
Mailing address
3073 SHIRLEY DR, JACKSON, MI 49201-7010
(517) 990-6210
(517) 990-6212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018663
MI
2251X0800X
Orthopedic Physical Therapist
05013211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C80665
BCBS
MI
Enumeration date
05/09/2018
Last updated
02/05/2025
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