Organization
CHRISTIAN D. TVETENSTRAND MD, PLLC
Active
Other names
Southern Tier Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN DAHN TVETENSTRAND M.D. (PRESIDENT)
(607) 763-8205
Entity
Organization
Contact information
Practice address
30 HARRISON ST, SUITE 320, JOHNSON CITY, NY 13790-2161
(607) 763-8205
(607) 763-8208
Mailing address
30 HARRISON ST, SUITE 320, JOHNSON CITY, NY 13790-2161
(607) 763-8205
(607) 763-8208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
178438
NY
363AS0400X
Surgical Physician Assistant
011154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01135079
—
NY
Enumeration date
05/18/2006
Last updated
11/19/2020
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