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Individual

CHRISTOPHER J THANEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11 2ND ST SW STE 1, WADENA, MN 56482-1417
(218) 631-1714
Mailing address
11 2ND ST SW STE 1, WADENA, MN 56482-1417
(218) 631-1714

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35986
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116402
UCARE
MN
01
394R6TH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/19/2007
Last updated
07/09/2007
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