Individual
MICHAEL CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
E5834 689TH AVE, MENOMONIE, WI 54751-5008
(715) 360-6527
Mailing address
E5834 689TH AVE, MENOMONIE, WI 54751-5008
(715) 360-6527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4902-23
WI
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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