Individual
DONALD D DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
4320 TANGLEWOOD DR, JANESVILLE, WI 53546-9375
(608) 741-1040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45227
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43301200
—
WI
Enumeration date
08/11/2006
Last updated
07/08/2007
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