Individual
CHRISTIAN TVETENSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 HARRISON ST, SUITE 320, JOHNSON CITY, NY 13790-2161
(607) 763-8205
(607) 763-8208
Mailing address
30 HARRISON ST, SUITE 320, JOHNSON CITY, NY 13790-2161
(607) 763-8205
(607) 763-8208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
178438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01135079
—
NY
Enumeration date
06/18/2006
Last updated
11/19/2020
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