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NPI Code Detail

MEDICARE: MICHAEL DOLECKI M.D.

MEDICARE: MICHAEL DOLECKI M.D.
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
1207X00000XOrthopaedic Surgery Physician19501MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033186655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DOLECKI M.D.
Provider Business Mailing Address
First Line : 107 6TH AVE SW
Second Line :
City : RONAN
State : MT
Zip : 59864-2634
Country : US
Telephone Number : 406-676-4441
Fax Number : 406-676-0835
Provider Business Practice Location Address
First Line : 126 6TH AVE SW
Second Line :
City : RONAN
State : MT
Zip : 59864-2600
Country : US
Telephone Number : 406-676-4441
Fax Number : 406-676-0835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 11/20/2024

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Directions to “ MICHAEL DOLECKI M.D.” Practice Location

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