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Individual

CHRISTOPHER THOMAS BUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8318
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8318

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47482
MN
2086S0129X
Vascular Surgery Physician
Primary
47482
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275432100
MN
Enumeration date
12/11/2006
Last updated
02/25/2016
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