Individual
DR. CHRISTOPHER R CHITAMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-4944
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-4944
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000112N
HUMANA
—
05
—
1215987748
—
WI
05
—
30595200
—
WI
Enumeration date
05/12/2006
Last updated
10/01/2020
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