Individual
CHRISTOPHER M. ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0169770A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01069770A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01069770A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027230
—
IN
Enumeration date
04/19/2007
Last updated
02/22/2024
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