Individual
ELIJAH DAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81642-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063038651
—
WI
Enumeration date
06/19/2020
Last updated
07/05/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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