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Individual
CHRISTOPHER STEPHEN CHILDS
Active
Individual
CHRISTOPHER STEPHEN CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62488
MN
207Q00000X
Family Medicine Physician
71541-20
WI
Other
Enumeration date
04/19/2016
Last updated
08/07/2019
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