Provider Demographics
NPI:1801863436
Name:DAHLING, MARY THERESE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:THERESE
Last Name:DAHLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NICOLLET MALL
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2500
Mailing Address - Country:US
Mailing Address - Phone:612-333-2503
Mailing Address - Fax:612-333-2503
Practice Address - Street 1:801 NICOLLET MALL
Practice Address - Street 2:SUITE 400
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2500
Practice Address - Country:US
Practice Address - Phone:612-333-2503
Practice Address - Fax:612-333-2503
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN50802207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN50802OtherMINNESOTA LICENSE