| NPI | 1164860599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L CHRISTIANSEN Sole Owner/Member 940-687-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |