Individual
DR. MATTHEW C CHRISTOPHERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1228 E RUSHOLME ST, STE 3020, DAVENPORT, IA 52803
(563) 823-9300
(563) 823-9330
Mailing address
1228 E RUSHOLME ST, STE 3020, DAVENPORT, IA 52803
(563) 823-9300
(563) 823-9330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34039
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237826
—
IA
Enumeration date
01/26/2006
Last updated
05/05/2021
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