Individual
MS. CHRISTINE ANN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)(M)
Contact information
Practice address
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372-9077
(952) 496-6150
(952) 233-4224
Mailing address
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372-9077
(952) 496-6150
(952) 233-4224
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
211121
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211121
ARRT
—
Enumeration date
10/04/2006
Last updated
07/08/2007
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