| Dr Ryan E Dodde Ii, MD | |
|
3124 N Wellness Dr, Suite 10, Holland, MI 49424-8121 | |
| (616) 738-5870 | |
| (616) 738-5872 |
| Full Name | Dr Ryan E Dodde Ii |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 32 Years |
| Location | 3124 N Wellness Dr, Holland, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881669299 | NPI | - | NPPES |
| 07010911 | Other | MI | BLUE CROSS PIN NUMBER |
| 13-30028 | Other | MI | IBA INSURANCE ID NUMBER |
| 128516 | Other | MI | PREFERRED CHOICES ID NO. |
| 2221956 | Other | MI | CIGNA PPO ID NUMBER |
| 7254148 | Other | MI | AETNA ID NUMBER |
| 24-07010911 | Other | MI | BCBS ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 4301063317 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holland Hospital | Holland, MI | Hospital |
| University Of Michigan Health | Ann arbor, MI | Hospital |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Entity Name | Lakeshore Plastic and Reconstructive Surgery Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467641373 PECOS PAC ID: 4385676469 Enrollment ID: O20050909000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan E Dodde Ii, MD 3124 N Wellness Dr, Suite 10, Holland, MI 49424-8121 Ph: (616) 738-5870 | Dr Ryan E Dodde Ii, MD 3124 N Wellness Dr, Suite 10, Holland, MI 49424-8121 Ph: (616) 738-5870 |
Dr. William D Doebler, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 533 Michigan Ave, Ste 100, Holland, MI 49423 Phone: 616-396-2463 Fax: 616-396-2996 |