Individual
MIRANDA CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 US-69, HUXLEY, IA 50124
(515) 597-2600
Mailing address
17315 290TH ST, TEMPLETON, IA 51463-8511
(712) 210-4755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
084412
IA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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