Individual
MARSHALL H DAHLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CADC III
Contact information
Practice address
212 S 11TH STREET, LA CROSSE, WI 54601
(608) 791-9555
(608) 791-9432
Mailing address
700 WEST AVENUE SOUTH, ATTN: PHYSICIAN SERVICES, LA CROSSE, WI 54601
(608) 791-4156
(608) 791-9898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
590
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39322100
—
WI
Enumeration date
05/27/2006
Last updated
07/08/2007
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