Individual
GREGORY J DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
ONE GROVELAND TERRACE, #202, MINNEAPOLIS, MN 55403-1174
(612) 823-1702
(612) 224-9817
Mailing address
PO BOX 19252, MINNEAPOLIS, MN 55419-0252
(612) 823-1702
(612) 823-5116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2647
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62506DA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/15/2006
Last updated
06/04/2015
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