Individual
NOAH DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 PINE ST, LA CROSSE, WI 54601-3750
(608) 785-6515
Mailing address
1031 LA CROSSE STREET, #204, LA CROSSE, WI 54601
(507) 429-4110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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