Provider Demographics
NPI:1457362691
Name:DEHLENDORF, CHRISTINE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:DEHLENDORF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:WARD 83
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-6491
Mailing Address - Fax:415-206-8387
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:WARD 83
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-6491
Practice Address - Fax:415-206-8387
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA87230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine