Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 208991 | PA |
N | 207X00000X | Orthopaedic Surgeon | 30527 | MN |
N | 207X00000X | Orthopaedic Surgeon | 66454 | MN |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 48272 | IA |
NPI | 1447631379 |
---|---|
Provider Name | Christy Christophersen |
First Address | Ames, IA 50010-5469 |
Second Address | Ames, IA 50010-5469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2015 |
Last Update Date | 31/08/2021 |