Individual
MARK A. CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 9TH ST SE, CENTRACARE HEALTH SYSTEM-LONG PRAIRIE, LONG PRAIRIE, MN 56347-1404
(320) 732-2141
(320) 732-6913
Mailing address
20 9TH ST SE, CENTRACARE HEALTH SYSTEM-LONG PRAIRIE, LONG PRAIRIE, MN 56347-1404
(320) 732-2141
(320) 732-6913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10183
MN
363AM0700X
Medical Physician Assistant
936
MN
Other
Enumeration date
12/11/2006
Last updated
02/06/2013
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