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Individual

DR. CHRISTOPHER J THEUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 STONECREST CT, STE 104, SHELBYVILLE, KY 40065-8128
(502) 633-6062
(502) 633-6810
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 633-6062
(502) 633-6810

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26764
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000048704
ANTHEM BLUE CROSS
KY
05
64267644
KY
01
P01038669
RR MEDICARE
KY
Enumeration date
06/17/2005
Last updated
01/23/2019
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