Individual
CHRISTOPHER DENNIS POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 N WABASH AVE STE 110, MARION, IN 46952-2677
(765) 664-1201
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01045491A
IN
207R00000X
Internal Medicine Physician
036079915
IL
207RC0000X
Cardiovascular Disease Physician
01045491
IN
207RC0000X
Cardiovascular Disease Physician
Primary
036079915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000677290
ANTHEM BCBS
IN
05
—
200092170
—
IN
01
—
257270010
MEDICARE PTAN
IN
01
—
565800021
MEDICARE PTAN
IN
01
—
941030014
MEDICARE PTAN
IN
Enumeration date
07/05/2005
Last updated
07/14/2025
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