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Individual
ANDREW BASLER DAHLGREN
Active
Individual
ANDREW BASLER DAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101057080
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101057080
VA
207RS0010X
Sports Medicine (Internal Medicine) Physician
4301074317
MI
Other
Enumeration date
05/23/2006
Last updated
02/19/2015
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