Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 62159 | WI |
N | 208000000X | Pediatrician | L-236008 | MA |
Y | 2080P0202X | Pediatric Cardiologist | 62159-20 | WI |
NPI | 1194984716 |
---|---|
Provider Name | Christen R Chamberland |
First Address | Eau Claire, WI 54702-1510 |
Second Address | La Crosse, WI 54601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 27/10/2020 |