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Individual

DR. MATTHEW D CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
488
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33171
SIOUX VALLEY HEALTH
SD
01
4995782
WELLMARK BC BS
SD
05
91400318
SD
01
9189
AVERA HEALTH
SD
01
SD449
DAKOTACARE
SD
Enumeration date
04/28/2006
Last updated
09/08/2024
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