Individual
STEPHANIE K DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 FRANCE AVE S STE 400, EDINA, MN 55435-2137
(952) 225-1630
(952) 225-1609
Mailing address
6565 FRANCE AVE S STE 400, EDINA, MN 55435-2137
(952) 225-1630
(952) 225-1609
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9584
ND
207VE0102X
Reproductive Endocrinology Physician
Primary
49394
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704458
MEDICA
—
01
—
1044606
PREFERREDONE
—
05
—
13531
—
ND
01
—
2367430
AMERICAS PPO
—
01
—
25831
ND BCBS
—
05
—
265441500
—
MN
01
—
457G7DA
MN BCBS
—
01
—
HP55620
HEALTHPARTNERS
—
Enumeration date
08/17/2006
Last updated
07/30/2020
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