Alice M Christianson
Family Doctor - Addiction Medicine
737 Broadway N
Fargo
, North Dakota 58122-0001
Alice M Christianson
Family Doctor - Addiction Medicine
737 Broadway N
Fargo
, North Dakota 58122-0001
(701) 461-5649
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Alice M Christianson
- 1720 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Fax : (701) 461-5649
- Phone : (701) 234-4171
Second Address
- Alice M Christianson
- 737 Broadway N
- Fargo, ND
- Zip : 58122-0001
- Fax : (701) 234-6979
- Phone : (701) 234-4811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 1016 | ND |
National Provider Identifier
| NPI | 1245258979 |
|---|---|
| Provider Name | Alice M Christianson |
| First Address | Fargo, ND 58103-4940 |
| Second Address | Fargo, ND 58122-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| N/A | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.