Individual
DR. MICHAEL DANIEL DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 S JACKSON ST # ST-C07, LOUISVILLE, KY 40202-1675
(502) 852-5875
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05015
KY
2085R0202X
Diagnostic Radiology Physician
34.015049
OH
2085R0202X
Diagnostic Radiology Physician
R4046
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100747030
—
KY
Enumeration date
03/25/2016
Last updated
04/27/2022
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