Individual
MEGAN MARIA DALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
SANFORD HEALTH ANESTHESIA DEPARTMENT, 737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5621
Mailing address
SANFORD HEALTH ANESTHESIA DEPARTMENT, 737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085833
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336440924
—
MN
Enumeration date
11/12/2010
Last updated
01/10/2011
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