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Individual

DR. BRADLEY A DAHLAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
953 MAPLE AVE, NOBLESVILLE, IN 46060-2603
(317) 214-7218
(317) 214-7213
Mailing address
953 MAPLE AVE, NOBLESVILLE, IN 46060-2603
(317) 214-7218
(317) 214-7213

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038008672
IL
111N00000X
Chiropractor
Primary
08002715A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7674253
AETNA
01
9932169
BC BS
Enumeration date
11/23/2007
Last updated
08/05/2013
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