Individual
MICHAEL CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 E ROYALL PL, #601, MILWAUKEE, WI 53202-1869
(414) 328-7146
Mailing address
1550 E ROYALL PL, #601, MILWAUKEE, WI 53202-1869
(414) 328-7146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036084833
IL
207R00000X
Internal Medicine Physician
56845
WI
208M00000X
Hospitalist Physician
Primary
56845
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011546
HEALTH ALLIANCE MEDICAL
IL
05
—
036084833
—
IL
05
—
100022869
—
WI
01
—
9815737
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/13/2006
Last updated
10/31/2023
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