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Contact Information

RANDALL M CHRISTENSON, MD
1403 60TH ST SE
KENTWOOD, MI49508-7065
 Phone: 616-719-4488
 Fax: 616-719-4480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for RANDALL M CHRISTENSON · (Male)

NPI # 1144253642
Status Active
Credentials MD
Entity Individual
Enumeration date 07/08/2006
Last updated 06/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301045911
  • MI Medicaid 103371307
  • MI Other 260D110830 BLUE CROSS BLUE SHIELD
  • MI Other 380001205 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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