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Individual

DR. MICHAEL DENNIS DALLMAN

Active
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Individual

DR. MICHAEL DENNIS DALLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
22050
MS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
29039
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06407309
MS
05
146735
AL
05
2357395
LA
05
290394
SC
01
SCB2925742
MEDICARE
SC
01
SCB292F935
MEDICARE
SC
Enumeration date
10/17/2006
Last updated
03/16/2018
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