Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 5603 | SD |
Y | 208600000X | Surgeon | 5603 | SD |
NPI | 1023097565 |
---|---|
Provider Name | Alan R Christensen |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Watertown, SD 57201-1558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 25/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7302030 | (05) | SD |
H57917 | (02) |