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Individual

DR. CHRISTOPHER CLARK MASSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 JEFFERSON AVE, GRAND RAPIDS, MI 49503
(616) 685-6200
Mailing address
PO BOX 5329, SAGINAW, MI 48603-0329
(616) 364-6700
(989) 401-4245

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
5101012108
MI
2085R0202X
Diagnostic Radiology Physician
Primary
5101012108
MI
2085R0204X
Vascular & Interventional Radiology Physician
5101012108
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4886830110
MI
Enumeration date
07/27/2006
Last updated
09/10/2019
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