MICHAEL DOLE MD, A PROFESSIONAL MEDICAL CORP.
Medical Practice at Provine Pl, Alexandria, LA

License number
Louisiana MD.10521R
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MICHAEL W DOLE M.D.
Title: OWNER
Phone: (318) 449-8333
Address
Address
5408 Provine Pl, Alexandria, LA 71303
National Provider ID: 1396067831
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL DOLE, MD, A PROFESSIONAL MEDICAL CORPORATION

Alexandria, LA

Status:
Inactive
Industry:
Medical Doctor's Office, Pain Management, Physical Medicine
Doing business as:
Michael Dole MD
Registration:
Jan 8, 2010
Phone:
(318) 449-8333 (Phone)
Addresses:
5408 Provine Pl, Alexandria, LA 71303 (Physical)
C/O Michael Dole, Alexandria, LA 71303 (Mailing)
State ID:
40082818D
Business type:
Business Corporation
Insurance/billings:
Michael Dole (Director), 6704 Christina Oaks Ln, Alexandria, LA 71301 (Physical),Micheal Dole (Medical Doctor, Owner, Principal),Melanie Jameson Nurse Practitioner, inactive,...

Michael Dole, MD, A Professional Medical Corporation

6525 Tennyson Oaks Ln, Alexandria, LA 71301

Status:
Inactive
Industry:
Health/Allied Services
Principal:
Micheal Dole Principal, inactive

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