Individual
CHRISTOPHER DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 CITY PARK DR, MUNISING, MI 49862-1130
(906) 387-2273
Mailing address
940 PATRIOT ST, ISHPEMING, MI 49849-3137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004688
MI
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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