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Individual

DR. EDWIN DALE CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 MCFARLAND BLVD STE 204, NORTHPORT, AL 35476-3275
(205) 462-3334
Mailing address
1325 MCFARLAND BLVD STE 204, NORTHPORT, AL 35476-3275
(205) 462-3334

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24343
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009939446
AL
01
051536986
BC/BS OF ALABAMA
AL
01
511-11742
BCBS OF ALABAMA
AL
01
P00373792
MEDICARE RAILROAD CARRIER
AL
Enumeration date
03/31/2006
Last updated
04/28/2020
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