Provider Demographics
NPI:1477907350
Name:DOWNER, CHRISTINA DANIELLE (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DANIELLE
Last Name:DOWNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:DANIELLE
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 E MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2833
Mailing Address - Country:US
Mailing Address - Phone:989-621-9473
Mailing Address - Fax:
Practice Address - Street 1:2853 HEALTH PKWY STE B
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-9375
Practice Address - Country:US
Practice Address - Phone:989-775-7641
Practice Address - Fax:989-775-6472
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101025281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine