Individual
GREGG A DAHLGREN
Active
Individual
GREGG A DAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
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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