Individual
SANDRA V KRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
75153
MA
207R00000X
Internal Medicine Physician
75153
MA
207RR0500X
Rheumatology Physician
75153
MA
Other
Enumeration date
10/17/2006
Last updated
10/21/2008
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