Individual
BRUCE MARK DAHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 E MAIN ST, CROSBY, MN 56441-1614
(218) 546-7000
Mailing address
420 VILLAGE CT, CAMBRIDGE, MN 55008-2179
(218) 628-1751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27317
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870867300
—
MN
Enumeration date
05/11/2006
Last updated
02/28/2012
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