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Individual

CHRISTINE KEUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2241
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12346
ND
207V00000X
Obstetrics & Gynecology Physician
390200000X
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17104
ND
Enumeration date
06/27/2008
Last updated
04/04/2022
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