Individual
CHRISTOPHER P. FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 N SAWYER RD, KENDALLVILLE, IN 46755-2573
(260) 349-9166
(260) 349-9175
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056639A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027090
MPLAN
—
01
—
000000324242
BLUE CROSS BLUE SHIELD
—
01
—
000000667061
ANTHEM
IN
01
—
15664
PHYSICIANS HEALTH PLAN
—
05
—
200390420
—
IN
01
—
P00135454
RAILROAD MEDICARE
IN
01
—
P00895097
MEDICARE RR
IN
Enumeration date
11/09/2005
Last updated
10/14/2022
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