Organization
DAHL FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N DAHL D.O. (OWNER)
(812) 709-2126
Entity
Organization
Contact information
Practice address
4 NE 21ST ST, SUITE 3, WASHINGTON, IN 47501-3134
(812) 709-2126
Mailing address
4 NE 21ST ST, SUITE 3, WASHINGTON, IN 47501-3134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003544A
IN
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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