Individual
ELLIE JO CHRISTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0780
Mailing address
114 RAINBOW LN, WAUSAU, WI 54401-7742
(715) 574-4038
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019270
NY
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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