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Individual

MARK R DAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35051782D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050021841
MEDICARE RAILROAD
OH
05
0889203
OH
Enumeration date
05/05/2006
Last updated
05/18/2015
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