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Individual

ERIC DANIEL CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
107 STURGEON EDDY RD APT 4, WAUSAU, WI 54403-4404
(262) 902-4151
Mailing address
107 STURGEON EDDY RD APT 4, WAUSAU, WI 54403-4404

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
220273
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
15566
WI

Other

Enumeration date
09/28/2023
Last updated
07/09/2024
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