MEDICARE: DOLKAR DOLKAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	2101910	MN

General Provider Information

NPI Number	:	1003294026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOLKAR DOLKAR

Provider Business Mailing Address
First Line	:	10417 EWING RD S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55431-3250
Country	:	US
Telephone Number	:	612-516-7534
Fax Number	:

Provider Business Practice Location Address
First Line	:	11501 MASONIC HOME DR
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55437-3661
Country	:	US
Telephone Number	:	612-516-7534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/11/2015

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Directions to “ DOLKAR DOLKAR ” Practice Location

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