Individual
MR. MICHAEL VERN CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
760 PIEDRA STREET, CANON CITY, CO 81212
(719) 275-8109
(719) 275-6036
Mailing address
760 PIEDRA STREET, CANON CITY, CO 81212
(719) 275-8109
(719) 275-6036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1130
CO
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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