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Individual

JOHN CHRISTOPHER MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-2511
Mailing address
3117 SEAFOAM DR, CORPUS CHRISTI, TX 78418-3912
(361) 688-3979

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-46182
KS
207P00000X
Emergency Medicine Physician
Primary
DR.0058355
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2013
Last updated
05/06/2025
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