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Contact Information

MICHELLE M DOLAN, MD
420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN55455
 Phone: 612-626-0622
 Fax: 612-626-2696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Molecular Genetics

207SG0203X
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Cytogenetics

207SC0300X
Indicates primary specialty

NPI Profile & details for MICHELLE M DOLAN · (Female)

NPI Number 1033140223
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 05/11/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 42857
  • MN Medicaid 160147400
  • MN Other 1131521 ARAZ
  • MN Other 009A5DO BCBS
  • MN Other HP41076 HEALTHPARTNERS
  • MN Other 11-00106 MEDICA CHOICE & PRIMARY
  • MN Other 1025646 PREFERRED ONE
  • MN Other 140155 UCARE
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
  • UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS - (Acute Care)
    750 EAST 34TH ST
    HIBBING, MN 55746
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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