Individual
CARRIE A DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 S JANESVILLE ST, MILTON, WI 53563-1775
(608) 868-5800
Mailing address
725 S JANESVILLE ST, MILTON, WI 53563-1775
(608) 868-5800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1081566
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1081566
CERTIFICATION ID
WI
Enumeration date
06/24/2008
Last updated
06/24/2008
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