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Individual
MICHAEL CHRISTIE
Active
Individual
MICHAEL CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G56393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G563930
—
CA
01
—
G56393
MEDICAL LICENSE #
CA
01
—
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
—
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
—
ZZZ92073Z
MEDICARE GROUP ID#
CA
Enumeration date
08/20/2006
Last updated
03/07/2023
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