Individual
DR. CHRISTINE NICHOLE DESAUTELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8100 W. 78TH ST. #100, EDINA, MN 55439-2529
(612) 262-5000
Mailing address
2734 EMERSON AVE S, MINNEAPOLIS, MN 55408-1232
(925) 708-5325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55263
MN
Other
Enumeration date
06/23/2011
Last updated
11/10/2020
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