Individual
DR. CHRISTOPHER STINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
717 S GRAND AVE, FOWLERVILLE, MI 48836-7914
(517) 223-9753
(517) 223-9755
Mailing address
PO BOX 158, FOWLERVILLE, MI 48836-0158
(517) 223-9753
(517) 223-9755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1954701310
BLUECROSS BLUE SHIELD
MI
05
—
4824990
—
MI
01
—
722132
UNITED CONCORDIA
MI
Enumeration date
11/16/2006
Last updated
07/08/2007
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