Individual
MICHELLE L. DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157057
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
157057
WI
Other
Enumeration date
09/15/2011
Last updated
09/15/2020
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