Individual
CHRISTOPHER DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42875 GRAND RIVER AVE STE 101, NOVI, MI 48375-1782
(248) 478-1616
(248) 478-9450
Mailing address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026446
MI
Other
Enumeration date
04/10/2020
Last updated
07/19/2022
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