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NPI Code Detail

MEDICARE: MS. JOLINE CHRISTINE DALTON M.S.

MEDICARE:  MS. JOLINE CHRISTINE DALTON  M.S.
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1912985003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOLINE CHRISTINE DALTON M.S.
Provider Business Mailing Address
First Line : 420 DELAWARE ST SE
Second Line : MMC 206
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-625-7967
Fax Number : 612-625-8488
Provider Business Practice Location Address
First Line : 420 DELAWARE ST SE
Second Line : MMC 206
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-625-7967
Fax Number : 612-625-8488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JOLINE CHRISTINE DALTON M.S.” Practice Location

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