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Individual

CHRISTOPHER WILLIAM BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
421 S CAMPUS AVE, 195 HEALTH SERVICES CENTER, OXFORD, OH 45056-2400
(513) 529-4634
(513) 529-2975
Mailing address
421 S CAMPUS AVE, 195 HEALTH SERVICES CENTER, OXFORD, OH 45056-2400
(513) 529-4634
(513) 529-2975

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-06-7003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000323345
ANTHEM
OH
05
2124310
OH
Enumeration date
01/29/2007
Last updated
07/21/2022
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