| Doctor Name: | DR. CHRISTIAN L BIRKEDAL |
| NPI Number: | 1043205404 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME84422 |
| Business Practice Address: | 305 Memorial Medical Pkwy Suite 205 Daytona Beach, FL - 321175168 |
| Business Phone Number: | 3862313530 |
| Business Fax Number: | 3862313534 |
| Mailing Address: | 305 Memorial Medical Pkwy, Suite 205 DAYTONA BEACH |
| State: | FL |
| Postal Code: | 321175168 |
| Phone Number: | 3862313530 |
| Fax Number: | 3862313534 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | ME84422 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |