Provider Demographics
NPI:1962464552
Name:DAHLMAN, HOLLY RYERSON (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:RYERSON
Last Name:DAHLMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2360 W JOPPA ROAD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4624
Mailing Address - Country:US
Mailing Address - Phone:410-583-2890
Mailing Address - Fax:410-583-2891
Practice Address - Street 1:2360 W JOPPA RD
Practice Address - Street 2:GREEN SPRING INTERNAL MEDICINE, LLC - SUITE 210
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4624
Practice Address - Country:US
Practice Address - Phone:410-583-2890
Practice Address - Fax:410-583-2891
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-04-15
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Provider Licenses
StateLicense IDTaxonomies
MDD0054653207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG94478Medicare UPIN