MR. GARY DENNIS CHRISTIANSON (NPI# 1093226508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093226508 |
Entity Type | Individual |
Full Name | MR. GARY DENNIS CHRISTIANSON |
Credential | L.A.D.C. |
Practice Address |
900 5th St Ste 301 International Falls MN 56649 |
Practice Telephone | 2182857029 |
Practice Fax Number | 2182857072 |
Mailing Telephone | 2182857029 |
Mailing Fax Number | 2182857072 |
Enumeration Date | 2017-10-24 |
Last Update Date | 2017-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302526 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164464905 | Gary L Christianson | Social Worker | 3267 S 16th St, Ohio Building - Room 209, Milwaukee, WI 53215-4500 | 2006-06-12 |
Street Address |
900 5TH ST STE 301 |
City | INTERNATIONAL FALLS |
State | MN |
Zip Code | 56649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427528173 | Heather Nichole Klemetsen | Counselor | 900 5th St Ste 301, International Falls, MN 56649-2200 | 2018-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
Find all providers in zip 56649 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427528173 | Heather Nichole Klemetsen | Counselor | 900 5th St Ste 301, International Falls, MN 56649-2200 | 2018-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
Find all providers with the same taxonomy |
City | INTERNATIONAL FALLS |
Zip Code | 56649 |
Please comment or provide details below to improve the information on MR. GARY DENNIS CHRISTIANSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.