Individual
DR. CHRISTOPHER MICHAEL RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
15785 95TH AVE N, MAPLE GROVE, MN 55369
(763) 233-4141
Mailing address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 233-4141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7117
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D14299
MN
Other
Enumeration date
09/18/2013
Last updated
08/01/2019
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