Individual
CHRISTINA J MANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5725 LOFTUS LANE, SAVAGE, MN 55378-2717
(952) 226-2500
(952) 226-2501
Mailing address
5725 LOFTUS LANE, SAVAGE, MN 55378-2717
(952) 226-2500
(952) 226-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49798
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926640000
—
MN
Enumeration date
03/30/2007
Last updated
03/27/2012
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