# HEIDI GAYLE DAHLEM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619001781
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 37314 | IA | Yes |
| 207R00000X | Internal Medicine Physician | R-7258 | IA | — |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 07/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 70641 | WELLMARK BCBS | IA |