Individual
DAWN L DEAL-DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-6600
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0230
SD
363A00000X
Physician Assistant
Primary
PAC0908
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6820724
—
SD
Enumeration date
04/20/2006
Last updated
01/14/2022
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