Individual
TIMOTHY STEFFEN DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 SALT WEDGE DR UNIT 5301, CHARLESTON, SC 29492-9025
(347) 964-3084
Mailing address
501 SALT WEDGE DR UNIT 5301, CHARLESTON, SC 29492-9025
(347) 964-3084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00588500
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00588500
NJ
363AS0400X
Surgical Physician Assistant
PA101814
MA
Other
Enumeration date
10/28/2020
Last updated
10/14/2025
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