Individual
HEIDI DAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 SE 29TH ST, GRAND RAPIDS, MN 55744-4043
(218) 326-1101
(218) 326-1106
Mailing address
100 SE 29TH ST, GRAND RAPIDS, MN 55744-4043
(218) 326-1101
(218) 326-1106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3129
MN
Other
Enumeration date
06/23/2008
Last updated
06/14/2010
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