Individual
DR. CHRISTIAN KISHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73025
MN
Other
Enumeration date
03/20/2019
Last updated
07/08/2024
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