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Individual

JAMES LEE CHRISTIANSEN

Active
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Individual

JAMES LEE CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

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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