Individual
MARY ANN DAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
POB 878 620 W US 10, EVART, MI 49631-0878
(231) 734-5891
Mailing address
POB 878 620 W US 10, EVART, MI 49631-0878
(231) 734-5891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750528
—
MI
01
—
P11230121
MULTIPLAN
MI
01
—
P25907F
BC NETWORK
MI
Enumeration date
08/25/2006
Last updated
10/10/2011
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