Provider Demographics
NPI:1346475209
Name:MAREN, CHRISTINE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:MAREN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8181 ARISTA PL UNIT 100
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-7916
Mailing Address - Country:US
Mailing Address - Phone:303-704-4487
Mailing Address - Fax:303-351-1100
Practice Address - Street 1:8181 ARISTA PL UNIT 100
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-7916
Practice Address - Country:US
Practice Address - Phone:303-704-4487
Practice Address - Fax:303-351-1100
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101023313207Q00000X
TXP0436207Q00000X
TXBPI 0034876390200000X
CODR.0059833207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODR.0059833OtherSTATE MEDICAL LICENSE
MI5101023313OtherSTATE MEDICAL LICENSE
TXP0436OtherSTATE MEDICAL LICENSE