Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 48777 | WI |
NPI | 1346208774 |
---|---|
Provider Name | Paul E. Dahlberg |
First Address | Minneapolis, MN 55407-1321 |
Second Address | Saint Paul, MN 55108-5107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 11/03/2021 |