DR. MICHELLE MARIE DOLAN M.D. NPI 1033140223

NPI Information

NPI: 1033140223
Provider Name: DR. MICHELLE MARIE DOLAN, M.D.
Classification: Medical Genetics - 207SG0203X
Entity Type: Individual

Specialization: Clinical Molecular Genetics

Organization: FAIRVIEW EXPRESS CARE

PECOS Registration: Yes

Address:
420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-0622
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DR. Michelle Marie Dolan, M.D. is a clinical molecular genetics medical genetics in Minneapolis, MN with 31 years of experience. The provider is a clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. DR. Michelle Marie Dolan, M.D. NPI is 1033140223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1993

The provider's business location address is:

420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-0622
Fax: (612) 626-2696

The NPI 1033140223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 5/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SC0300X	Medical Genetics	Clinical Cytogenetics	42857	MINNESOTA	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	42857	MINNESOTA	No
3	207SG0203X	Medical Genetics	Clinical Molecular Genetics	42857	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1025646	OTHER	MINNESOTA	PREFERRED ONE
2	009A5DO	OTHER	MINNESOTA	BCBS
3	11-00106	OTHER	MINNESOTA	MEDICA CHOICE & PRIMARY
4	H25164	MEDICARE UPIN	MINNESOTA
5	1131521	OTHER	MINNESOTA	ARAZ
6	160147400	MEDICAID	MINNESOTA
7	140155	OTHER	MINNESOTA	UCARE
8	HP41076	OTHER	MINNESOTA	HEALTHPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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