Individual
DR. MICHAEL O CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4264
Mailing address
1413 GOLDEN GATE BLVD, SUITE 250, MAYFIELD HTS, OH 44124-3420
(440) 605-1560
(440) 605-1563
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35047255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029179
ANTHEM INDIVIDUAL ID
OH
05
—
0711493
—
OH
05
—
0798445
—
OH
Enumeration date
07/06/2006
Last updated
07/09/2007
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