Individual
CHRISTOPHER M. NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5666 EAST STATE STREET, ROCKFORD, IL 61108-2425
(815) 226-2000
(608) 826-2710
Mailing address
5666 EAST STATE STREET, ROCKFORD, IL 61108-2425
(815) 226-2000
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-126617
IL
207P00000X
Emergency Medicine Physician
44558
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34253900
—
WI
Enumeration date
01/25/2006
Last updated
02/10/2011
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