Widstrom, Christopher J.

Widstrom, Christopher J. is an individual health care provider with primary practice located at 1901 Connecticut Ave. S , Sartell MN 56377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Widstrom, Christopher J. can be contacted via phone (320) 259-4100.

Contact Information

Primary practice address
1901 Connecticut Ave. S Sartell MN 56377
Phone: (320) 259-4100
Fax: (320) 259-8044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36764 Minnesota

Profile Details

NPI number 1164454278
LBN Legal business name Widstrom, Christopher J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 15th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164454278 NPPES
Minnesota MEDICAID 311865700

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