Dahl, Diane M

Dahl, Diane M is an individual health care provider with primary practice located at 2345 Ariel St N - Mail Stop 13601A Healthpartners Regions Behavioral Health-Maplewood, Maplewood MN 55109-2248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dahl, Diane M can be contacted via phone (651) 254-4793.

Contact Information

Primary practice address
2345 Ariel St N - Mail Stop 13601A Healthpartners Regions Behavioral Health-Maplewood Maplewood MN 55109-2248
Fax: (651) 254-0877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24566 Minnesota

Profile Details

NPI number 1396717393
LBN Legal business name Dahl, Diane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Dec 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396717393 NPPES
Minnesota MEDICAID 202707100

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