Provider Demographics
NPI:1003445800
Name:DR. CHRIS POPP, PC
Entity Type:Organization
Organization Name:DR. CHRIS POPP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:GECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-661-8100
Mailing Address - Street 1:107 APRILL DR STE 5
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1956
Mailing Address - Country:US
Mailing Address - Phone:734-212-6668
Mailing Address - Fax:734-212-6891
Practice Address - Street 1:107 APRILL DR STE 5
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1956
Practice Address - Country:US
Practice Address - Phone:734-212-6668
Practice Address - Fax:734-212-6891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center