Individual
MARK P CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
812 N 22ND ST, BLAIR, NE 68008
(402) 426-4611
(402) 426-4642
Mailing address
22525 CAPEHART RD, GRETNA, NE 68028
(402) 332-5428
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
564
NE
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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