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Individual

DR. RANDAL L CHRISTENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3511
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-3511

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
158560
NY
207R00000X
Internal Medicine Physician
158560
NY

Other

Enumeration date
02/06/2008
Last updated
01/17/2013
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