Individual
DANIEL W DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
(701) 234-2345
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2000
(701) 234-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12057
ND
2085R0202X
Diagnostic Radiology Physician
Primary
12057
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2008
Last updated
08/19/2019
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