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DR. DAVID CLARK WOHLRABE D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1730184797

Individual Registrant:
DR. DAVID CLARK WOHLRABE D.D.S.
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

Contact information for business:
PO BOX 546  BAUDETTE, MN 56623-0546 US
Tel: 218-634-2389  Fax: 218-634-2381

Registration Information:
NPI: 1730184797
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MND9678

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD MN81132WOHMN01




HEALTH CARE JOBS MN - Page 1



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