Individual
MICHAEL CHRISTAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 LINCOLN STREET, WORCESTER VA OUTPATIENT CLINIC, WORCESTER, MA 01605
(508) 856-0104
Mailing address
50 WICKABOAG VALLEY RD, WEST BROOKFIELD, MA 01585-2846
(508) 856-0104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77603
MA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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