Individual
CHRISTOPHER D CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10625 W NORTH AVE, SUITE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE, SUITE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2000148612
MO
207P00000X
Emergency Medicine Physician
Primary
67081-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206294001
—
MO
Enumeration date
07/27/2006
Last updated
04/12/2017
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