Individual
DR. JOHN EDWARD DALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1395 S COLUMBIA RD, SUITE B, GRAND FORKS, ND 58201-4054
(701) 775-3215
Mailing address
1395 S COLUMBIA RD, SUITE B, GRAND FORKS, ND 58201-4054
(701) 775-3215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3327
MN
111N00000X
Chiropractor
575
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11995
—
ND
01
—
5C117DA
BLUE CROSS BLUE SHIELD
MN
01
—
DAL14199
BLUE CROSS BLUE SHIELD
ND
Enumeration date
08/24/2005
Last updated
09/05/2019
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