DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CASSONDRA LANE DAHLHEIMER PA-C

MEDICARE: CASSONDRA LANE DAHLHEIMER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant2081MN

General Provider Information

NPI Number : 1255744173
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSONDRA LANE DAHLHEIMER PA-C
Provider Business Mailing Address
First Line : 290 MAIN ST NW STE 100
Second Line :
City : ELK RIVER
State : MN
Zip : 55330-1251
Country : US
Telephone Number : 763-241-0373
Fax Number :
Provider Business Practice Location Address
First Line : 290 MAIN ST NW
Second Line : SUITE 100
City : ELK RIVER
State : MN
Zip : 55330-1270
Country : US
Telephone Number : 763-241-0373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 02/11/2026

Similar Medicare Providers

1245204346 — AMY L FAIR M.D.
Practice Location Address:
290 MAIN ST NW , SUITE 100
ELK RIVER, MN
55330-1270
Practice Phone: 763-241-5805
Practice Fax: 763-241-5835
1578519450 — HARRY JOHN ROBINSON JR. M.D.
Practice Location Address:
290 MAIN ST NW
ELK RIVER, MN
55330-1270
Practice Phone: 763-441-0298
Practice Fax: 763-441-0591
1720025265 — WILFRED EDWIN GOULD III MD
Practice Location Address:
290 MAIN ST NW
ELK RIVER, MN
55330-1270
Practice Phone: 763-241-5800
Practice Fax:
1679510234 — HENRY JAMES PADGETT GNP
Practice Location Address:
290 MAIN ST NW
ELK RIVER, MN
55330-1270
Practice Phone: 763-241-5800
Practice Fax:
1588601231 — PATRICIA RIESS KUBICKA MD
Practice Location Address:
290 MAIN ST NW
ELK RIVER, MN
55330-1270
Practice Phone: 763-241-5800
Practice Fax:
1457398836 — NATHAN BUDDE PA
Practice Location Address:
290 MAIN ST NW
ELK RIVER, MN
55330-1270
Practice Phone: 763-541-5800
Practice Fax:

Directions to “ CASSONDRA LANE DAHLHEIMER PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.