Organization
SOUTHERN TIER SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN TVETENSTRAND M.D. (SURGEON)
(607) 763-8205
Entity
Organization
Contact information
Practice address
30 HARRISON STREET, SUITE 320, JOHNSON CITY, NY 13790-2162
(607) 763-8205
(607) 763-8208
Mailing address
30 HARRISON STREET, SUITE 320, JOHNSON CITY, NY 13790-2162
(607) 763-8205
(607) 763-8208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
178438
NY
Other
Enumeration date
09/06/2012
Last updated
02/11/2013
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