Provider Demographics
NPI:1588856223
Name:DEHLIN, CHRISTOPHER ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:DEHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:107 W MAIN ST
Mailing Address - Street 2:STE 2
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4651
Mailing Address - Country:US
Mailing Address - Phone:906-662-4070
Mailing Address - Fax:906-662-4091
Practice Address - Street 1:107 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4651
Practice Address - Country:US
Practice Address - Phone:906-662-4070
Practice Address - Fax:906-662-4091
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine