Individual
JAMES LEE CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 WEST FAIR AVE, STE 334, MARQUETTE, MI 49855
(906) 225-3870
(906) 225-4861
Mailing address
1414 WEST FAIR AVE, STE 334, MARQUETTE, MI 49855
(906) 225-3870
(906) 225-4861
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301059630
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2858255
—
MI
01
—
3505200821
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/13/2006
Last updated
02/06/2008
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