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Individual

CARL E CHRISTENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5305 N FRESNO ST STE 106A, FRESNO, CA 93710-6873
(559) 229-3668
(559) 244-5866
Mailing address
PO BOX 28915, FRESNO, CA 93729-8915
(559) 229-3668
(559) 244-5866

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E38850
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E38850
CA
01
480017500
RAILROAD MEDICARE
Enumeration date
06/08/2005
Last updated
09/09/2011
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