Basic Information
Provider Information
NPI: 1720222805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDGREN
FirstName: CHRISTOPHER (CHRIS)
MiddleName: PAUL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 712 S CASCADE ST
Address2:  
City: FERGUS FALLS
State: MN
PostalCode: 565372913
CountryCode: US
TelephoneNumber: 2187368000
FaxNumber:  
Practice Location
Address1: 712 S CASCADE ST
Address2:  
City: FERGUS FALLS
State: MN
PostalCode: 565372913
CountryCode: US
TelephoneNumber: 2187368000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/21/2009
LastUpdateDate: 07/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X27145NEN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X55945MNY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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