Dahl, Mark T

Dahl, Mark T is an individual health care provider with primary practice located at 5803 Neal Ave N , Oak Park Heights MN 55082-2177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dahl, Mark T can be contacted via phone (651) 439-8807.

Contact Information

Primary practice address
5803 Neal Ave N Oak Park Heights MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 26212 Minnesota

Profile Details

NPI number 1508862194
LBN Legal business name Dahl, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Nov 30th, 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 1508862194 NPPES
Wisconsin MEDICAID 31946300
Wisconsin MEDICAID 853077700

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