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Individual

DR. JOHN C CHRISTIANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2025 W OKLAHOMA AVE, SUITE 114, MILWAUKEE, WI 53215-4455
(414) 647-1537
(414) 647-1560
Mailing address
2025 W OKLAHOMA AVE, SUITE 114, MILWAUKEE, WI 53215-4455
(414) 647-1537
(414) 647-1560

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27387
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30728300
WI
Enumeration date
09/11/2006
Last updated
07/08/2007
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