Individual
DR. BRIAN DAHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2614 S COLLEGE AVE, FORT COLLINS, CO 80525-2138
(970) 530-2105
Mailing address
1204 BOULDER CT, WINDSOR, CO 80550-5762
(970) 530-2105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17717
CO
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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