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Individual

ERIK D CHRISTIANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
351 CARLANNA LAKE RD, KETCHIKAN, AK 99901
(907) 225-2020
(907) 247-2015
Mailing address
351 CARLANNA LAKE RD, KETCHIKAN, AK 99901
(907) 225-2020
(907) 247-2015

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
126
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0D1260
AK
Enumeration date
01/16/2007
Last updated
07/08/2007
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