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Individual

MR. MICHAEL D DAHLHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1212
Mailing address
2081 315TH LN NW, CAMBRIDGE, MN 55008-6923
(763) 670-8075

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2518
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00971260
AMERICAN DIETETIC ASSOCIA
MN
01
971260
REGISTERED DIETITIAN
MN
Enumeration date
01/12/2007
Last updated
07/08/2007
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