Individual
DR. DANE ROBERT CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
(952) 993-3286
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-3123
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
46534
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
46534
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704415100
—
MN
Enumeration date
12/30/2005
Last updated
08/14/2020
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