Individual
JUDY A BELLANGER-DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1200
(218) 347-4043
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(218) 347-4043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
0325
ND
363AM0700X
Medical Physician Assistant
9616
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23099
NDBCBS
—
01
—
318G9BE
MNBCBS
—
05
—
924632100
—
MN
Enumeration date
06/02/2006
Last updated
08/04/2022
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