Provider Demographics
NPI:1245940360
Name:TRAXLER, CHRISTINE IRENE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:IRENE
Last Name:TRAXLER
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 1:7517 BRISTOL VILLAGE CURV
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-2581
Mailing Address - Country:US
Mailing Address - Phone:763-301-4400
Mailing Address - Fax:
Practice Address - Street 1:7517 BRISTOL VILLAGE CURV
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55438-2581
Practice Address - Country:US
Practice Address - Phone:763-301-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN031397-5207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine