Marla Dahlk, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

542 Issued in WI

Practice address

3705 Brigham Ave
Madison, WI 53714-1203

Phone

(608) 320-0938

NPI assigned

Mar 27, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1265492888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 BRIGHAM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 BRIGHAM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141203",
            "telephone_number": "608-320-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLK",
        "first_name": "MARLA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Beth Dahl, D.C.
• Holly Elizabeth Dahl
• Tana Dahl, D.O.
• Jordan Margaret Dahlhauser
• Michelle Renee Dahlie, OT
• Debra Dahlke, CRNA
• Jay Q Dahlke
• James Steven Dahm, MD
• Lauren Dahms, NP
• Elena Dai

• Medical Physician Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.