Healthcare Provider Details

I. General information

NPI: 1942593868
Provider Name (Legal Business Name): CHRISTIAN A BUHR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 PARK NICOLLET BLVD
ST LOUIS PARK MN
55416-2527
US

IV. Provider business mailing address

3800 PARK NICOLLET BLVD SUITE 300
MINNEAPOLIS MN
55416
US

V. Phone/Fax

Practice location:
  • Phone: 952-883-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number59340
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: