Individual
CHRISTOPHER STEPHEN CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62488
MN
207Q00000X
Family Medicine Physician
71541-20
WI
Other
Enumeration date
04/19/2016
Last updated
08/07/2019
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