Provider Demographics
NPI:1457440380
Name:TERNAND, CHRISTINE L (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:TERNAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 SMITH AVE N
Mailing Address - Street 2:CHILDREN'S HOSPITALS AND CLINICS OF MN
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2387
Mailing Address - Country:US
Mailing Address - Phone:651-220-6624
Mailing Address - Fax:
Practice Address - Street 1:347 SMITH AVE N
Practice Address - Street 2:CHILDREN'S HOSPITALS AND CLINICS OF MN
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2387
Practice Address - Country:US
Practice Address - Phone:651-220-6624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN241262080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN12-74815OtherMEDICA PRIMARY
MT0056758Medicaid
MN016832OtherFAIRVIEW
MN1009327OtherPREFERRED ONE
MN33-11541OtherMEDICA CHOICE
MN100946OtherUCARE
MNHP11583OtherHEALTH PARTNERS
MN691782800Medicaid
IA0908103Medicaid
MN4T502TEOtherBLUE CROSS BLUE SHIELD
MN100946OtherUCARE
MNHP11583OtherHEALTH PARTNERS