Individual
CHRISTOPHER A MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 838-4698
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8085
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01066770A
IN
390200000X
Student in an Organized Health Care Education/Training Program
TL2231
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000635507
ANTHEM PROVIDER NUMBER
IN
05
—
200958100
—
IN
Enumeration date
10/10/2008
Last updated
02/11/2010
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