Individual
JOSHUA JOHN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
312 16TH ST SW, ROCHESTER, MN 55902-2151
(507) 581-2777
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3133
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000022197
BOARD OF CERTIFICATION
—
01
—
3133
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
01
—
61755
NATIONAL ATHLETIC TRAINING ASSOCIATION
—
Enumeration date
12/10/2019
Last updated
12/10/2019
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