Healthcare Provider Details

I. General information

NPI: 1265636963
Provider Name (Legal Business Name): CHRISTINA TOVE DUNN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 09/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 CENTRAL PARK VILLAGE DR STE 200
EAGAN MN
55121-7707
US

IV. Provider business mailing address

3305 CENTRAL PARK VILLAGE DR STE 200
EAGAN MN
55121-7707
US

V. Phone/Fax

Practice location:
  • Phone: 651-406-8860
  • Fax:
Mailing address:
  • Phone: 651-406-8860
  • Fax: 651-688-7864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19611
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: