Individual
DR. RANDALL M CHRISTENSON
Active
Individual
DR. RANDALL M CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
4301045911
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103371307
—
MI
01
—
260D110830
BLUE CROSS BLUE SHIELD
MI
01
—
380001205
RAILROAD MEDICARE
MI
Enumeration date
07/08/2006
Last updated
06/24/2010
Update your record
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