Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 074240 | GA |
NPI | 1114924677 |
---|---|
Provider Name | Dr. Michael Steven Dahn |
First Address | Atlanta, GA 30368-6336 |
Second Address | Savannah, GA 31404-6261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 10/09/2015 |