Individual
DR. CHRISTOPHER BRIAN GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 S VAN DYKE RD, SUITE 1, BAD AXE, MI 48413-9646
(989) 269-6911
(989) 269-9162
Mailing address
1040 S VAN DYKE RD, SUITE 1, BAD AXE, MI 48413-9646
(989) 269-6911
(989) 269-9162
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-105202
IL
208600000X
Surgery Physician
39798-020
WI
208600000X
Surgery Physician
Primary
43010617599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01601930371
AMA
MI
Enumeration date
10/31/2006
Last updated
03/07/2023
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