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Individual

DR. TIMOTHY JON DAHLGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 792-6710
Mailing address
PO BOX 11539, WESTMINSTER, CA 92685-1539
(866) 899-2586

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00028201
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8125130
WA
Enumeration date
06/13/2006
Last updated
05/14/2008
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