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Individual

DR. KRISTIN KAY CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6600 EXCELSIOR BLVD STE 181, ST LOUIS PARK, MN 55426-4747
(952) 993-7700
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 993-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39311
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-18437
MEDICA CHOICE & PRIMARY
MN
01
1015348
PREFERRED ONE
MN
01
112867
UCARE
MN
05
541527600
MN
01
841585
ARAZ
MN
01
HP23950
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
02/12/2020
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