Individual
KATELYN JO DAHEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-3912
Mailing address
PO BOX 497, REDLAKE, MN 56671-0497
(218) 679-3912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
11/23/2021
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