Individual
SAMUEL R DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
2237 WINDSOR LAKE DR, MINNETONKA, MN 55305-2635
(952) 388-4008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3426
MN
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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