Individual
CORY G CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 NORTHGATE DR, IOWA CITY, IA 52245-9509
(319) 338-3606
(319) 338-0522
Mailing address
2751 NORTHGATE DR, IOWA CITY, IA 52245-9509
(319) 338-3606
(319) 338-0522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38395
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881802312
—
IA
01
—
I75560004
MEDICARE PTAN
IA
Enumeration date
05/18/2007
Last updated
10/21/2022
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