Individual
TRACY DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 430-5435
(302) 430-5644
Mailing address
640 S. STATE ST., MAIL CODE 3055, DOVER, DE 19901-3530
(302) 430-5435
(302) 430-5644
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
C1-0005419
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C1-0005419
DE
Other
Enumeration date
12/01/2005
Last updated
10/11/2024
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