Individual
MR. GERALD A DAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
178 PUTNAM HILL RD, SUTTON, MA 01590-1117
(508) 865-6217
Mailing address
178 PUTNAM HILL RD, SUTTON, MA 01590-1117
(508) 865-6217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
32
MA
363AM0700X
Medical Physician Assistant
PA32
MA
Other
Enumeration date
02/21/2006
Last updated
11/15/2021
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