Provider Demographics
NPI:1487092599
Name:BAPTIST, CHRISTOPHER (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:BAPTIST
Suffix:
Gender:M
Credentials:DPM
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Other - Credentials:
Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:STE 134
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3952
Mailing Address - Country:US
Mailing Address - Phone:313-343-6393
Mailing Address - Fax:313-343-6394
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:SUITE 335
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-6393
Practice Address - Fax:313-343-6394
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2016-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002474213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery