Individual
MRS. HOLLY ELIZABETH DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 REGENT ST, SUITE 106, MADISON, WI 53715-2647
(608) 662-5090
Mailing address
3010 PATTY LN, APT 2, MIDDLETON, WI 53562-1684
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11937-146
WI
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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