Kenneth D Dodge (NPI# 1346387503, PAC ID# 2769468693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346387503 |
| PAC ID by PECOS | 2769468693 |
| Professional Enrollment ID | I20040629001458 |
| Full Name | Kenneth D Dodge |
| Address |
112 B Main St S Pierz MN 56364-4400 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2020 6th St S, Brainerd, MN 56401-4529 | 2188292020 | NORTHERN EYE CENTER PA |
| 112 B Main St S, Pierz, MN 56364-4400 | ||
| 900 S Rum River Dr, Suite 103, Princeton, MN 55371-2239 | 7633899000 | THOMAS L NUNNELEE INC |
| Street Address |
112 B MAIN ST S |
| City | PIERZ |
| State | MN |
| Zip | 56364-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert J Juetten | Chiropractic | 232 N Main St, Pierz, MN 56364-0339 | |
| Brett J Kramer | Physical Therapy | Select Therapy Inc | 26814 143rd St, Pierz, MN 56364-1556 |
| Sara Carlson | Occupational Therapy | Select Therapy Inc | 26814 143rd St, Pierz, MN 56364-1556 |
| Rebecca Kay Smith | Physical Therapy | Select Therapy Inc | 26814 143rd St, Pierz, MN 56364-1556 |
| Jonathan H Sampson | Physical Therapy | Select Therapy Inc | 26814 143rd St, Pierz, MN 56364-1556 |
| Andrew R Hadrich | Physical Therapy | Select Therapy, Inc. | 26814 143rd St, Pierz, MN 56364-1556 |
| Kelli B Leland | Family Medicine | St Josephs Medical Center | 221 Main St N, Pierz, MN 56364-1570 |
| Michelle Renee Lanning | Nurse Practitioner | Unity Family Healthcare | 200 1st Ave Se, Pierz, MN 56364-4138 |
| Lisa A Germscheid | Family Medicine | Unity Family Healthcare | 200 1st Ave Se, Pierz, MN 56364-4138 |
| Thomas P Stoy | Family Medicine | Unity Family Healthcare | 200 1st Ave Se, Pierz, MN 56364-4138 |
| Find all physicians in zip 56364 | |||
| City | PIERZ |
| Zip Code | 56364 |
| Specialty | OPTOMETRY |
| City + Specialty | PIERZ + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth D Dodge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.