Dahlberg, Peter Scott

Dahlberg, Peter Scott is an individual health care provider with primary practice located at 1100 Bergslien St , Baldwin WI 54002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Dahlberg, Peter Scott can be contacted via phone (715) 684-1111.

Contact Information

Primary practice address
1100 Bergslien St Baldwin WI 54002
Phone: (715) 684-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36075 Minnesota
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 36075 Minnesota

Profile Details

NPI number 1750318218
LBN Legal business name Dahlberg, Peter Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 12th, 2018 - about 7 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 1750318218 NPPES
Minnesota Other 128184 UCARE
Minnesota Other 110A6DA UCARE
Minnesota Other 17-00867 UCARE
Minnesota Other HP33647 UCARE
Minnesota MEDICAID 0085391 UCARE
Minnesota MEDICAID 34808300 UCARE
Minnesota Other 1344965 UCARE
Minnesota MEDICAID 744218100 UCARE
Minnesota Other 1028023 UCARE

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