Individual
JOHN STEPHEN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 GROVE AVE, RICHMOND, VA 23220-4438
(804) 359-1351
(804) 355-6625
Mailing address
2201 GROVE AVE, RICHMOND, VA 23220-4438
(804) 359-1351
(804) 355-6625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056275
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5825768
—
VA
Enumeration date
01/13/2006
Last updated
02/03/2021
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