Individual
WILLIAM K DAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(207) 945-5196
Mailing address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(207) 945-5196
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD200
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010476684
FED I D NUMBER
ME
05
—
220000000
—
ME
Enumeration date
01/19/2007
Last updated
05/21/2009
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