Individual
CHRISTOPHER JOSEPH STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4070 CHICAGO DR SW, GRANDVILLE, MI 49418-1258
(616) 988-8787
(616) 988-4786
Mailing address
4070 CHICAGO DR SW, GRANDVILLE, MI 49418-1258
(616) 988-8787
(616) 988-4786
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
CS065698
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104531620
—
MI
05
—
104749142
—
MI
01
—
1804112891
BCBS PROVIDER #
MI
01
—
200033734
TAX ID
MI
Enumeration date
08/15/2006
Last updated
03/05/2008
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