Individual
MR. BRUCE A CHRISTOPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2209 CRABTREE BLVD, INTERNATIONAL FALLS, MN 56649-2174
(218) 285-9297
Mailing address
2209 CRABTREE BLVD, INTERNATIONAL FALLS, MN 56649-2174
(218) 285-9297
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1051213-1-AFC
MN
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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