Individual
BRUCE GEORGE DAHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6746
MN
2255A2300X
Athletic Trainer
1600
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250543
AMERICA'S PPO
MN
01
—
374L6DA
BCBS OF MN
MN
01
—
6405049
MEDICA
MN
01
—
HP47868
HEALTHPARTNERS
MN
Enumeration date
09/25/2006
Last updated
09/30/2019
Update your record
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