NPI 1306376447 · live from the CMS NPI Registry
Courtney Dahl, DO
Family Medicine in Amery, WI. National Provider Identifier 1306376447, active.
NPI record
| NPI | 1306376447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 265 Griffin St E, Amery, WI 54001 |
| Practice phone | 715-268-8000 |
| Mailing address | 820 E 17th St, Cheyenne, WY 82001 |
| Enumerated | June 12, 2017 |
| Last updated | May 7, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 129-T2 (WY) |
| Family Medicine primary | 207Q00000X | 74058 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.