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1760440242

NPI Code Detail

MEDICARE: DR. KIRK V. DAHL MD

MEDICARE: DR. KIRK V. DAHL MD

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
1	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	24145-020	WI
2	207P00000X	Emergency Medicine Physician	24145-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760440242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK V. DAHL MD

Provider Business Mailing Address
First Line	:	3440 OAKWOOD HILLS PKWY
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-7698
Country	:	US
Telephone Number	:	715-839-6869
Fax Number	:

Provider Business Practice Location Address
First Line	:	3440 OAKWOOD HILLS PKWY
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-7698
Country	:	US
Telephone Number	:	715-839-6869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	11/01/2010

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Directions to “ DR. KIRK V. DAHL MD” Practice Location

Language	Start Address	Practice Location

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