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NPI Code Detail

MEDICARE: ANNA MARIE CHRISTOPHERSON

MEDICARE: ANNA MARIE CHRISTOPHERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianWI

General Provider Information

NPI Number : 1043163041
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIE CHRISTOPHERSON
Provider Business Mailing Address
First Line : 1906 E WEBSTER PL
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-3949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 N PATRICK BLVD UNIT 250
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-5883
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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