Basic Information
| Provider Information | |||||||||
| NPI: | 1285012260 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOLIE | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 HUNDERTMARK RD | ||||||||
| Address2: | |||||||||
| City: | CHASKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553184551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9524422191 | ||||||||
| FaxNumber: | 3193846511 | ||||||||
| Practice Location | |||||||||
| Address1: | 5775 WAYZATA BLVD STE 190 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS PARK | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554162627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9525421840 | ||||||||
| FaxNumber: | 9525436524 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2015 | ||||||||
| LastUpdateDate: | 10/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | R10206 | IA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 63900 | MN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.