Individual
KEVIN C CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 251-8385
Mailing address
6882 COUNTY ROAD 39 NE, MONTICELLO, MN 55362-2915
(320) 251-8385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
038068
MN
Other
Enumeration date
03/16/2007
Last updated
01/14/2008
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