Individual
DALLIN WILLIAM GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-5311
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4599
(208) 422-1314
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1871295543
WI
207R00000X
Internal Medicine Physician
1871295543
ID
207R00000X
Internal Medicine Physician
MRM-2227
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
07/09/2024
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