Organization
CANDACE C CHRISTEN, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE CHRISTEN OD (OPTOMETRIST)
(612) 310-2203
Entity
Organization
Contact information
Practice address
5036 5TH ST NE, COLUMBIA HEIGHTS, MN 55421-1650
(612) 310-2203
(763) 571-5982
Mailing address
5036 5TH ST NE, COLUMBIA HEIGHTS, MN 55421-1650
(612) 310-2203
(763) 571-5982
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2960
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537K5JC
BCBS OF MN
—
Enumeration date
09/07/2007
Last updated
09/07/2007
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