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Individual

GREGG A DAHLGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
(308) 236-5884
(308) 236-9621
Mailing address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
(308) 236-5884
(308) 236-9621

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1485
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39501
BLUE CROSS BLUE SHIELD NE
NE
01
470769316
SENTINEL HEALTH/PPO
NE
05
47076931613
NE
01
650011335
RAILROAD MEDICARE
NE
Enumeration date
05/24/2006
Last updated
10/20/2022
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