Provider Demographics
NPI:1225189731
Name:BLAIR, CHRISTOPHER E (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:E
Last Name:BLAIR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1345 E PARKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-9318
Mailing Address - Country:US
Mailing Address - Phone:231-398-1750
Mailing Address - Fax:231-398-1735
Practice Address - Street 1:2821 E PRESIDENT GEORGE BUSH HWY STE 300
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4277
Practice Address - Country:US
Practice Address - Phone:972-235-5633
Practice Address - Fax:972-235-5636
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS05-38800207X00000X
TXJ6340207X00000X
MI5101012508207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG30683Medicare UPIN