Individual
DR. PETER SCOTT DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002
(715) 684-1111
Mailing address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36075
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085391
—
MT
01
—
1028023
PREFERRED ONE
MN
01
—
110A6DA
BCBS
MN
01
—
128184
UCARE
MN
01
—
1344965
ARAZ
MN
01
—
17-00867
MEDICA CHOICE & PRIMARY
FM
05
—
34808300
—
WI
05
—
744218100
—
MN
01
—
HP33647
HEALTHPARTNERS
MN
Enumeration date
06/28/2006
Last updated
07/12/2018
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