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Individual

CHRISTINE M BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4401 W 13 MILE RD, ROYAL OAK, MI 48073-6516
(248) 566-3525
Mailing address
1204 VINSETTA BLVD, ROYAL OAK, MI 48067-1025
(248) 589-1972

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009830
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30462
BLUE CROSS
MI
Enumeration date
06/26/2007
Last updated
10/14/2019
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