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General NPI Number Information
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NPI Number | 1285367441
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Entity Type | Individual
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Provider Name | MICHAEL DEAN CHRISTENSEN
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Gender | Male
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 915 E 1ST ST
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City | DULUTH
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State | MN
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Zip | 55805-2107
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Country | US
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Telephone | 218-249-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 3067 S MILWAUKEE AVE
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City | OLIVER
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State | WI
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Zip | 54880-8163
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Country | US
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Telephone | 715-566-2640
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15512
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License Number State | MN
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