Provider Demographics
NPI:1265477384
Name:SHIER, CHRISTOPHER KARL (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:KARL
Last Name:SHIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-2297
Mailing Address - Country:US
Mailing Address - Phone:269-982-4104
Mailing Address - Fax:269-982-4123
Practice Address - Street 1:1234 NAPIER AVENUE
Practice Address - Street 2:
Practice Address - City:ST JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085
Practice Address - Country:US
Practice Address - Phone:269-983-8300
Practice Address - Fax:269-983-6965
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010496702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4551678Medicaid
P00070909Medicare ID - Type UnspecifiedRAILROAD
MI4551678Medicaid
E94294Medicare UPIN