Individual
CHARLES E. CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 COLUMBIA RD, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, GRAND FORKS, ND 58202-9037
(701) 777-3240
(701) 777-4849
Mailing address
501 N COLUMBIA RD, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, GRAND FORKS, ND 58202-9037
(701) 777-3240
(701) 777-4849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9006
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11834
—
ND
Enumeration date
03/23/2006
Last updated
02/08/2013
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