Individual
MARY AGNES DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
Mailing address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70537
MN
207Q00000X
Family Medicine Physician
82220-20
WI
Other
Enumeration date
04/28/2020
Last updated
09/22/2023
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