NPI 1093322273

Melissa Jo Dahlstrom

Practitioner Driver Minnesota City, MN

Practice location

Address: 185 Hidden Vly, Minnesota City, MN 55959-1231
Phone: (507) 429-8902

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence R768175844521 (MN)

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Registry record

NPI: 1093322273
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2020
Record last updated: 4 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.