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Individual

MITCHELL LEE CHRISTENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BSN, RN

Contact information

Practice address
T886 GRANITE HEIGHTS RD, WAUSAU, WI 54403-9486
(715) 409-0996
Mailing address
T886 GRANITE HEIGHTS RD, WAUSAU, WI 54403-9486
(715) 409-0996

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
197090
WI

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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