Individual
DR. MATTHEW E CHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12563 STATE ROAD 23, GRANGER, IN 46530-9226
(574) 335-8300
(574) 335-0775
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 335-8707
(574) 335-0750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044138A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086760
—
IN
Enumeration date
10/26/2005
Last updated
04/29/2014
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