James Lee Christiansen, | |
1414 West Fair Ave, Ste 334, Marquette, MI 49855 | |
(906) 225-3870 | |
(906) 225-4861 |
Full Name | James Lee Christiansen |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 1414 West Fair Ave, Marquette, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326080102 | NPI | - | NPPES |
3505200821 | Other | MI | BLUE CROSS BLUE SHIELD |
2858255 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 4301059630 (Michigan) | Primary |
Entity Name | Seattle Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
Mailing Address | Practice Location Address |
---|---|
James Lee Christiansen, 1414 West Fair Ave, Ste 334, Marquette, MI 49855 Ph: (906) 225-3870 | James Lee Christiansen, 1414 West Fair Ave, Ste 334, Marquette, MI 49855 Ph: (906) 225-3870 |
Dr. Maggie Chen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Dr. Stephanie Marie Nelson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave, Suite 226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Chasity C Caperton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 226, Marquette, MI 49855 Phone: 906-449-1240 | |
George Michael Nidiffer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, #226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Dr. Francis P Darr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 226, Marquette, MI 49855 Phone: 906-225-3925 Fax: 906-225-4838 | |
Amy Martyanov, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3993 |