Provider Demographics
NPI:1497378749
Name:CHRISTENSEN, NATHANAEL COOK (DO)
Entity Type:Individual
Prefix:
First Name:NATHANAEL
Middle Name:COOK
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:890 PRAIRIE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9657
Mailing Address - Country:US
Mailing Address - Phone:505-320-5734
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR DEPT OF PATHOLOGY
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-384-5313
Practice Address - Fax:319-384-9613
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAR-11834207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology