Provider Demographics
NPI:1689759755
Name:DREHSEN, CHRISTIAN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:GEORGE
Last Name:DREHSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:240 1ST AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701
Mailing Address - Country:US
Mailing Address - Phone:727-592-0991
Mailing Address - Fax:727-826-0800
Practice Address - Street 1:240 1ST AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701
Practice Address - Country:US
Practice Address - Phone:727-592-0991
Practice Address - Fax:727-209-4606
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20609208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57937Medicare UPIN
FL71040Medicare PIN