Individual
DR. JEAN CHRISTINA CARSTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1513 PARK AVE FL 1, COLUMBUS, WI 53925-1793
(920) 623-9611
(920) 623-1787
Mailing address
1513 PARK AVE FL 1, COLUMBUS, WI 53925-1793
(920) 623-9611
(920) 623-1787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1222
WI
207R00000X
Internal Medicine Physician
4301086833
MI
208000000X
Pediatrics Physician
4301086833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467655613
—
WI
Enumeration date
06/06/2007
Last updated
08/05/2021
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