Individual provider · NPI-1
Dr. Christoffer Alton Dimla Amdahl, MD
Orthopaedic Surgery · Madison, WI
NPI number1861070765
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1861070765
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christoffer Alton Dimla Amdahl
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 104047 | WI | Yes |
| 207Q00000X | Family Medicine | MD27991 | ME | |
| 207QS0010X | Family Medicine, Sports Medicine | MD225485 | OR | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4602 Eastpark BlvdMadison, WI 53718-2002
Phone 608-263-7540 · Fax 608-662-4545
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
Other practice locations
621 Science Dr
Madison, WI 53711-1074
Madison, WI 53711-1074
Phone 608-263-8850
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