Organization
WOMEN'S VITALITY & FERTILITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DAHLINE PA-C (OWNER)
(507) 456-9279
Entity
Organization
Contact information
Practice address
125 SAINT ANDREWS CT STE 221, MANKATO, MN 56001-8600
(507) 519-0370
Mailing address
120 NIGHTHAWK LN, MADISON LAKE, MN 56063-5001
(507) 456-9279
(949) 695-4869
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
08/20/2024
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