Individual
DR. CHRISTINA ELAINE DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43301
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051614700
—
MN
01
—
1202287
MEDICA
MN
01
—
142968
UCARE
MN
01
—
295J4HI
BLUE CROSS BLUE SHIELD
MN
01
—
CP9041032171
PREFERRED ONE
MN
Enumeration date
02/06/2006
Last updated
08/31/2022
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