Individual provider · Type 1 NPI
Melissa Jo Dahlstrom
Driver · Minnesota City, MN
NPI number
1093322273
Active
Practice location
185 Hidden Vly
Minnesota City, MN 55959-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | R768175844521 (MN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1093322273
Melissa Jo Dahlstrom's National Provider Identifier is 1093322273, issued on Sep 30, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Minnesota City, MN. The record was last updated on Oct 4, 2020.