Individual
PETER KIRK DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-5033
(351) 326-5900
Mailing address
1055 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-5033
(651) 326-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52971
MN
Other
Enumeration date
04/20/2009
Last updated
12/15/2016
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