| Doctor Name: | MARK P CHRISTIANSEN |
| NPI Number: | 1013981000 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | 564 |
| Business Practice Address: | 812 N 22nd St Blair, NE - 68008 |
| Business Phone Number: | 4024264611 |
| Business Fax Number: | 4024264642 |
| Mailing Address: | 22525 Capehart Rd, GRETNA |
| State: | NE |
| Postal Code: | 68028 |
| Phone Number: | 4023325428 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |