Provider Demographics
NPI:1669493342
Name:PAPP, CHRISTOPHER R (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:R
Last Name:PAPP
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:PO BOX 3820
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-3820
Mailing Address - Country:US
Mailing Address - Phone:248-826-4929
Mailing Address - Fax:248-278-6096
Practice Address - Street 1:321 PETTIBONE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-6000
Practice Address - Country:US
Practice Address - Phone:248-782-8120
Practice Address - Fax:248-278-6096
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062242A207W00000X
OH35091217207W00000X
MI4301080629207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1669493342Medicaid
OH2821012Medicaid
MI1669493342Medicaid
OHPA4231391Medicare PIN
MII64770Medicare UPIN
OH9310793Medicare PIN
OH9310794Medicare PIN
MIN14190006Medicare PIN
MIP00626242Medicare PIN