Individual
CHRISTOPHER J MEHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-7808
Mailing address
2837 US 41 WEST, MARQUETTE, MI 49855-2675
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301052676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005201161
BLUE CROSS BLUE SHIELD MI
MI
05
—
4352558
—
MI
Enumeration date
11/29/2005
Last updated
05/19/2008
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