Provider Demographics
NPI:1366450488
Name:CHRISTENSEN, LEONARD CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:CHARLES
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7190 AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-8757
Mailing Address - Country:US
Mailing Address - Phone:406-442-4898
Mailing Address - Fax:
Practice Address - Street 1:VHAFHM
Practice Address - Street 2:1892 WILLIAMS ST
Practice Address - City:FORT HARRISON
Practice Address - State:MT
Practice Address - Zip Code:59636
Practice Address - Country:US
Practice Address - Phone:406-447-7704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8558208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology