Individual
DR. MARK T DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
Mailing address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26212
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31946300
—
WI
05
—
853077700
—
MN
Enumeration date
06/28/2005
Last updated
11/30/2011
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