Healthcare Provider Details

I. General information

NPI: 1457440380
Provider Name (Legal Business Name): CHRISTINE L TERNAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 SMITH AVE N CHILDREN'S HOSPITALS AND CLINICS OF MN
SAINT PAUL MN
55102-2387
US

IV. Provider business mailing address

347 SMITH AVE N CHILDREN'S HOSPITALS AND CLINICS OF MN
SAINT PAUL MN
55102-2387
US

V. Phone/Fax

Practice location:
  • Phone: 651-220-6624
  • Fax:
Mailing address:
  • Phone: 651-220-6624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number24126
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: