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Individual
PAUL J CHRISTENSON
Active
Individual
PAUL J CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35078926C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0433726
MEDICAL LICENSE
KS
05
—
1841250370
—
MO
05
—
200623690A
—
KS
01
—
2009010040
MEDICAL LICENSE
MO
01
—
305747
AUA PERSONAL ID NUMBER
—
01
—
35078926C
STATE MEDIAL LICENSE NUMB
OH
01
—
43078011
BLUE CROSS
—
01
—
483155
FAMILY HEALTH PARTNERS
—
01
—
50372
COTLGEN NUMBER BARD
—
01
—
H30788
NATIONAL PROVIDER IDENTIF
—
01
—
P00779235
RAIL ROAD MEDICARE
—
Enumeration date
03/27/2006
Last updated
03/07/2023
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