Individual
MR. KIRK DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-3723
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-3723
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401004101
MI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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