Individual
MICHAEL A CHRISTOFFERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5715 LUNSFORD DR, APT H, CHEYENNE, WY 82001-6074
(307) 274-0605
(307) 638-0467
Mailing address
5715 LUNSFORD DR, APT H, CHEYENNE, WY 82001-6074
(307) 274-0605
(307) 638-0467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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