Individual
DR. ALLAN W DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 STATE AVE, FARIBAULT, MN 55021
(507) 334-6451
Mailing address
447 PARADISE PT, SIGNAL MOUNTAIN, TN 37377-7753
(423) 886-9262
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12000
TN
207P00000X
Emergency Medicine Physician
Primary
57195
MN
207Q00000X
Family Medicine Physician
12000
TN
Other
Enumeration date
06/07/2006
Last updated
03/17/2018
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