Individual
DR. CHRISTOPHER J CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11055 TWIN CREEKS CV, FORT WAYNE, IN 46845-2204
(260) 425-6120
(260) 425-6115
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062437A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200831010
—
IN
Enumeration date
10/24/2006
Last updated
10/10/2022
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