Provider Demographics
NPI:1467554949
Name:RANCONT, CHRISTOPHER MANFRED (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MANFRED
Last Name:RANCONT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10925 GRAND LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-8626
Mailing Address - Country:US
Mailing Address - Phone:810-265-5755
Mailing Address - Fax:810-265-5755
Practice Address - Street 1:1501 W CHISHOLM ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1401
Practice Address - Country:US
Practice Address - Phone:989-356-7000
Practice Address - Fax:989-356-7000
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016562207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine