Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DALE CONRAD FORSLIN
Active Sole ProprietorMR. DALE CONRAD FORSLIN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in BRAHAM, Minnesota. NPI 1205340577 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · BRAHAM, MN
Registration Details
- NPI Number
- 1205340577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2017 (8.7648279112192 yrs)
- Last Updated
- Nov 25, 2017
- License
-
1086211 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1029 HIGHWAY 65 STE 107BRAHAM, MN, 550063360Browse MN providers · Browse ZIP 55006
- Phone
- 7635161199
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.