Individual
DR. MATTHEW E CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
4301109188
MI
2085P0229X
Pediatric Radiology Physician
47873
KY
2085R0202X
Diagnostic Radiology Physician
0101249118
VA
2085R0202X
Diagnostic Radiology Physician
Primary
4301109188
MI
390200000X
Student in an Organized Health Care Education/Training Program
2006016529
MO
Other
Enumeration date
06/20/2007
Last updated
06/13/2016
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