Individual
MR. DREW JAMES CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDT
Contact information
Practice address
12936 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 559-3400
Mailing address
12936 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 559-3400
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
DT45
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT45
MN
Other
Enumeration date
06/16/2014
Last updated
02/08/2022
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