Individual
DR. MICHAEL SEAN DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 661-9825
Mailing address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 661-9825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19684
MS
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
44495
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514547
—
TN
Enumeration date
03/20/2007
Last updated
11/02/2015
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