Individual
BRETT D CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4341 GOLDEN CENTER DR, SUITE A, PLACERVILLE, CA 95667-6260
(530) 626-1144
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-1144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C52505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C52505
MEDICAL LICENSE
CA
Enumeration date
02/09/2006
Last updated
09/01/2020
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