Provider Demographics
NPI:1861429037
Name:DOBSON, JOHN P (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:DOBSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3346 LENNON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-1082
Mailing Address - Country:US
Mailing Address - Phone:810-732-1919
Mailing Address - Fax:810-732-3740
Practice Address - Street 1:3346 LENNON ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-1015
Practice Address - Country:US
Practice Address - Phone:810-732-1919
Practice Address - Fax:810-732-3740
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2011-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010536112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI02519282OtherBCBSM
MI300075603OtherRAILROAD MEDICARE
MI3321181Medicaid
MI02519282OtherBCBSM
MI3321181Medicaid