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Individual

BRAD C CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1600 SOUTH 48TH ST, ER DEPT, LINCOLN, NE 68506
(402) 489-0200
Mailing address
PO BOX 81406, LINCOLN, NE 68501-1406
(800) 678-7672

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
693
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37851
BCBS
NE
Enumeration date
08/10/2006
Last updated
06/10/2008
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