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DR. CHRISTIAN WILLIAM ERTL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6260
(269) 337-6530
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6260
(269) 337-6441

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301093343
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00136846501
BLUE CARE FAMILY PLAN
01
010036846CT01
BC/BS
01
020001475
MEDICARE
01
03684601
CONNECTICARE
01
061596829
CIGNA HEALTH PLAN
01
0V7800
HEALTHNET
01
1417961137
BCBSM - BRONSON
MI
01
149696
PREFERRED ONE HUSKY
01
1740406
UNITED HEALTHCARE
05
1881691178
MI
01
2386462
AETNA
01
P984485
OXFORD
Enumeration date
07/01/2005
Last updated
02/15/2012
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