Individual
DR. DAVID CLARK WOHLRABE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
406 MAIN ST. NW, BAUDETTE, MN 56623-0546
(218) 634-2389
(218) 634-2381
Mailing address
PO BOX 546, BAUDETTE, MN 56623-0546
(218) 634-2389
(218) 634-2381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9678
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81132WOH
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
06/16/2005
Last updated
07/08/2007
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