Individual
CHRISTOPHER RYAN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
PT19688
ND
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
19688
ND
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2018017656
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018017656
MO LICENSE
MO
Enumeration date
06/01/2018
Last updated
02/21/2025
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