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DANIEL P DALLAIRD
205 W 2ND ST SUITE 437 DULUTH MN 558021922
DANIEL P DALLAIRD is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1639108574. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3476504796. The primary specialty is . The organization is DULUTH PSYCHOLOGICAL CLINIC INC. The address is 205 W 2ND ST, SUITE 437, DULUTH, MN, 558021922. The zip code is 558021922.
|Nation Provider ID||1639108574|
|PAC ID by PECOS||3476504796|
|Professional Enrollment ID||I20050203000718|
|Name||DANIEL P DALLAIRD|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||DULUTH PSYCHOLOGICAL CLINIC INC|
|Group Practice PAC ID||5395835243|
|Number of Group Practice members||4|
|Address||205 W 2ND ST, SUITE 437, DULUTH, MN, 558021922|
|Hospital affiliation LBN|