IndividualActive
Nancy Dodge, MD
NPI 1801849138 · Pediatric Neurodevelopmental Disabilities Physician · Grand Rapids, MI
Provider details
- NPI number
- 1801849138
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301087152 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
35 Michigan St Ne
Suite 3003
Grand Rapids, MI 49503-2514
Phone: (616) 267-2009
Fax: (616) 267-2010
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.