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DR. DAVID CLARK WOHLRABE D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1730184797
Individual Registrant:DR. DAVID CLARK WOHLRABE D.D.S.
Gender: M
Gender: M
Location and contact information for practice:
406 MAIN ST. NW BAUDETTE, MN 56623-0546 US
Tel: 218-634-2389 Fax: 218-634-2381
Tel: 218-634-2389 Fax: 218-634-2381
Contact information for business:
PO BOX 546 BAUDETTE, MN 56623-0546 US
Tel: 218-634-2389 Fax: 218-634-2381
Tel: 218-634-2389 Fax: 218-634-2381
Registration Information:
NPI: 1730184797
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | MN | D9678 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD MN | 81132WOH | MN | 01 |
