Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 23837 | MN |
Y | 207VE0102X | Reproductive Endocrinologist | 3893 | ND |
NPI | 1336167063 |
---|---|
Provider Name | Steffen P Christensen |
First Address | Fargo, ND 58104-4603 |
Second Address | Fargo, ND 58104-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 26/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12426 | (05) | ND |
D25798 | (02) |