MR. Thomas David Dodge

NPI #1952681090 in Holly, Michigan

Provider Information

NPI Number: 1952681090
Entity Type: Individual
Name: MR. Thomas David Dodge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 21, 2011
Last Updated: Aug 21, 2011

Practice Location

Address: 15242 N HOLLY RD
City: Holly
State: Michigan
ZIP Code: 48442-1141
Phone: (248) 634-2314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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