Individual
RONALD F CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4930
(920) 288-4941
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
46196
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
46196
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104555710
—
MI
05
—
34447400
—
WI
01
—
P00092289
RAILROAD
WI
Enumeration date
06/18/2006
Last updated
03/22/2016
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