Individual
MATTHEW CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 W. UNIVERSITY AVENUE, ANESTHESIOLOGY, URBANA, IL 61801
(217) 383-3141
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036120700
IL
207L00000X
Anesthesiology Physician
47634
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
—
05
—
237893100
—
MN
Enumeration date
02/10/2006
Last updated
06/05/2012
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