Individual
DR. CHRISTINE MARIE CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
036-108497
IL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
4301407270
MI
2083X0100X
Occupational Medicine Physician
Primary
4301407270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBSM GROUP NUMBER
MI
Enumeration date
10/10/2007
Last updated
07/29/2012
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