Provider Demographics
NPI:1700520707
Name:SPRINGER, CHRISTIAN JAMES (DO)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JAMES
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 MEADOWVIEW LN
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-2881
Mailing Address - Country:US
Mailing Address - Phone:319-830-0547
Mailing Address - Fax:
Practice Address - Street 1:MILESQUARE LP JOHNSON CENTER
Practice Address - Street 2:1221 E. STATE ST.
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61104
Practice Address - Country:US
Practice Address - Phone:815-972-1037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program