Kirk Victor Dahl (NPI# 1760440242, PAC ID# 4385743327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1760440242 |
| PAC ID by PECOS | 4385743327 |
| Professional Enrollment ID | I20070615000496 |
| Full Name | Kirk Victor Dahl |
| Organization Legal Name | IHC-WOUND CARE SERVICES LLC |
| Address |
950 W Clairemont Ave Eau Claire WI 54701-6192 |
| Phone Number | 7157174395 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | UNDERSEA AND HYPERBARIC MEDICINE |
| Group Practice PAC ID | 6305009101 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520017 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 7157174395 | IHC-WOUND CARE SERVICES LLC |
| Organization Legal Name | IHC-WOUND CARE SERVICES LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Erdman | Emergency Medicine | Ihc-wound Care Services LLC | 1506 Oneida St S, Appleton, WI 54915-1305 |
| James L Sacquitne | Physician Assistant | Ihc-wound Care Services LLC | 500 S Oakwood Rd, Oshkosh, WI 54904-7944 |
| Brian N Pauley | Emergency Medicine | Ihc-wound Care Services LLC | 900 W Clairemont Ave, Sacred Heart Hospital, Eau Claire, WI 54701-6122 |
| Emily J Mason | Emergency Medicine | Ihc-wound Care Services LLC | 900 W Clairemont Ave, Sacred Heart Hospital, Eau Claire, WI 54701-6122 |
| James L Concannon | Emergency Medicine | Ihc-wound Care Services LLC | 9555 76th St, Pleasant Prairie, WI 53158-1984 |
| Sarah N Liddell | Physician Assistant | Ihc-wound Care Services LLC | 900 W Clairemont Ave, Sacred Heart Hospital, Eau Claire, WI 54701-6122 |
| Steven D Cook | Emergency Medicine | Ihc-wound Care Services LLC | 2661 County Hwy I, Chippewa Falls, WI 54729-5407 |
| Toomas E Heinmets | Physician Assistant | Ihc-wound Care Services LLC | 2661 County Hwy I, Chippewa Falls, WI 54729-5407 |
| Mark R Evans | Physician Assistant | Ihc-wound Care Services LLC | 1506 Oneida St S, Appleton, WI 54915-1305 |
| Daniel J Hafner | Physician Assistant | Ihc-wound Care Services LLC | 1506 Oneida St S, Appleton, WI 54915-1305 |
| Street Address |
950 W CLAIREMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip | 54701-6192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Gustavson | Psychologist, Clinical | 402 Graham Ave, Suite 205, Eau Claire, WI 54701-2633 | |
| Margaret E Mccabe Schultz | Nurse Practitioner | Chippewa Valley Neurosciences LLC | 3506 Oakwood Mall Dr, Suite A, Eau Claire, WI 54701-2639 |
| Jon P Konzen | Neurology | Chippewa Valley Neurosciences LLC | 3506 Oakwood Mall Dr, Suite A, Eau Claire, WI 54701-2639 |
| Binu M Philip Durkee | Family Medicine | Oakleaf Clinics Sc | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Stephen M Endres | Interventional Pain Management | Pain Clinic of Northwestern Wisconsin Sc | 3802 W Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Emily Verna Bee | Nurse Practitioner | Oakleaf Clinics Sc | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Tamara J Slinkard | Family Medicine | Oakleaf Clinics Sc | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Kirsten Elise Kern | Nurse Practitioner | Oakleaf Clinics Sc | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Amanda Kay Bradley | Nurse Practitioner | Oakleaf Clinics Sc | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Kelly Ross Tokarski | Nurse Practitioner | Oakleaf Clinics Sc | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 |
| Find all physicians in zip 54701 | |||
| City | EAU CLAIRE |
| Zip Code | 54701 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | EAU CLAIRE + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.