Individual
REBECCA M. DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 W 66TH ST, RICHFIELD, MN 55423-2304
(612) 798-8800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1689
WI
207R00000X
Internal Medicine Physician
49738
WI
207R00000X
Internal Medicine Physician
Primary
54081
MN
207R00000X
Internal Medicine Physician
MD440013
PA
207RN0300X
Nephrology Physician
MD440013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102483179
—
PA
01
—
1591277
GATEWAY-WMG
PA
01
—
2514078
HIGHMARK BLUE SHIELD-WMG
PA
01
—
415288
UPMC-WMG
PA
Enumeration date
05/04/2006
Last updated
09/11/2012
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