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Individual

DR. CHRISTIAN JOHN SANVANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-9000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 489-9000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01069203A
IN
207Q00000X
Family Medicine Physician
Primary
036134410
IL
207R00000X
Internal Medicine Physician
45066
AZ
208M00000X
Hospitalist Physician
01069203A
IN
208M00000X
Hospitalist Physician
036134410
IL
208M00000X
Hospitalist Physician
45066
AZ
208M00000X
Hospitalist Physician
63291
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246717
WI
Enumeration date
06/30/2008
Last updated
07/08/2025
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