Individual
SHAUN K. CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11643
ND
2084N0400X
Neurology Physician
37863
IA
2084N0400X
Neurology Physician
55041
MN
2084N0400X
Neurology Physician
R-7418
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15289
—
ND
Enumeration date
05/17/2007
Last updated
05/05/2021
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