Individual
THOMAS A. CHRISTIANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 813-3886
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18907
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218005
PREFERREDONE
MN
01
—
1000010
MEDICA PRIMARY
MN
01
—
1001313
AMERICA'S PPO
MN
01
—
102262
UCARE
MN
01
—
20997
AMERICA'S PPO
MN
01
—
30167400
MEDICAID - WISCONSIN
WI
01
—
62D62CH
BLUE SHIELD
MN
Enumeration date
08/10/2005
Last updated
07/08/2007
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