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Organization

CAPITOL NEUROLOGY PA

Active
Other names
Neil R. Dahlquist MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JACKLYNN A KWAPICK (OFFICE MANAGER)
(651) 291-1559
Entity
Organization

Contact information

Practice address
360 SHERMAN ST, SUITE #350, SAINT PAUL, MN 55102-2564
(651) 291-1559
(651) 291-0051
Mailing address
360 SHERMAN ST, SUITE #350, SAINT PAUL, MN 55102-2564
(651) 291-1559
(651) 291-0051

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
617523600
MN
01
CK5233
RAILROAD MEDICARE
MN
Enumeration date
07/22/2006
Last updated
07/31/2008
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