Tanya Rose Christopherson, RD, LD | |
109 Court Ave S, Pine Medical Center, Sandstone, MN 55072-5120 | |
(320) 245-2211 | |
Not Available |
Full Name | Tanya Rose Christopherson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 109 Court Ave S, Sandstone, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164734661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Pine Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
Mailing Address | Practice Location Address |
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Tanya Rose Christopherson, RD, LD 109 Court Ave S, Pine Medical Center, Sandstone, MN 55072-5120 Ph: (320) 245-2211 | Tanya Rose Christopherson, RD, LD 109 Court Ave S, Pine Medical Center, Sandstone, MN 55072-5120 Ph: (320) 245-2211 |
Marita Watrin Haberman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Court Ave S, Sandstone, MN 55072 Phone: 320-245-2211 | |
Hannah Lynn Ennis, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 45741 Grace Lake Rd, Sandstone, MN 55072 Phone: 320-384-0149 | |
Cynthia Anne Roden, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Court Ave S, Essentia Health Sandstone, Sandstone, MN 55072 Phone: 320-245-2211 |