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NPI Code Detail

MEDICARE: DR. ANDREW DAHLKE MD

MEDICARE: DR. ANDREW DAHLKE 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
12085R0202XDiagnostic Radiology PhysicianC1-0005045DE

Other Identifiers

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

General Provider Information

NPI Number : 1912994096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW DAHLKE MD
Provider Business Mailing Address
First Line : PO BOX 263
Second Line :
City : LEWES
State : DE
Zip : 19958-0263
Country : US
Telephone Number : 302-645-7919
Fax Number :
Provider Business Practice Location Address
First Line : 424 SAVANNAH RD
Second Line :
City : LEWES
State : DE
Zip : 19958-1462
Country : US
Telephone Number : 302-645-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 01/24/2017

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