Individual
DR. MICHAEL W DOLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 449-8333
(318) 449-8328
Mailing address
PO BOX 12658, ALEXANDRIA, LA 71315-2658
(318) 449-8333
(318) 449-8328
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10521R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357855
—
LA
Enumeration date
11/21/2005
Last updated
07/08/2007
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