Individual
DR. CHRISTOPHER JAMES WHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
17515 FORT ST, RIVERVIEW, MI 48193-6630
(734) 225-7770
(734) 225-7775
Mailing address
17515 FORT ST, RIVERVIEW, MI 48193-6630
(734) 225-7770
(734) 225-7775
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301078496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104754213
—
MI
01
—
202784777
FEDERAL TAX ID
MI
Enumeration date
01/09/2006
Last updated
04/04/2011
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