Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 9584 | ND |
Y | 207VE0102X | Reproductive Endocrinologist | 49394 | MN |
NPI | 1265545784 |
---|---|
Provider Name | Stephanie K Dahl |
First Address | Edina, MN 55435-2137 |
Second Address | Edina, MN 55435-2137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0704458 | MEDICA (01) | |
1044606 | PREFERREDONE (01) | |
13531 | (05) | ND |
2367430 | AMERICAS PPO (01) | |
25831 | ND BCBS (01) | |
265441500 | (05) | MN |
457G7DA | MN BCBS (01) | |
H92119 | (02) | |
HP55620 | HEALTHPARTNERS (01) |