Individual
BRUCE GEORGE DAHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10961 CLUB WEST PKWY, BLAINE, MN 55449-4671
(763) 572-5710
(763) 528-2945
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
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
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