Organization
CHRISTOPHER M. FALLU DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MICHAEL FALLU D.P.M. (PHYSICIAN/OWNER)
(313) 842-3388
Entity
Organization
Contact information
Practice address
6795 W VERNOR HWY, DETROIT, MI 48209-1551
(313) 842-3388
(313) 842-3388
Mailing address
6795 W VERNOR HWY, DETROIT, MI 48209-1551
(313) 842-3388
(313) 842-3388
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
CF001733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4173486
—
MI
01
—
58252560
BCBSM
MI
Enumeration date
11/25/2008
Last updated
11/25/2008
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