Individual
DR. CHRISTINE MARIE CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 E BEARDSLEY AVE, STE 100, ELKHART, IN 46514-3366
(574) 206-8010
Mailing address
2760 EMBER WAY, ANN ARBOR, MI 48104-6462
(734) 913-0949
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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