Individual
BRUCE L DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4446
(701) 234-4455
Mailing address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4446
(701) 234-4455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3903
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13239
—
ND
Enumeration date
07/18/2006
Last updated
01/18/2012
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