Individual
MICHELLE GAEBEL DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8479 RIDGE RD, SODUS, NY 14551-9569
(315) 498-0243
Mailing address
8479 RIDGE RD, SODUS, NY 14551-9569
(315) 498-0243
(315) 498-0249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012414
NY
Other
Enumeration date
09/12/2013
Last updated
01/16/2019
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