Provider Demographics
NPI:1679578124
Name:ZEHNDER, CHRISTOPHER DAVID (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:ZEHNDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1000
Mailing Address - Country:US
Mailing Address - Phone:989-652-2626
Mailing Address - Fax:989-652-2643
Practice Address - Street 1:504 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1000
Practice Address - Country:US
Practice Address - Phone:989-652-2626
Practice Address - Fax:989-652-2643
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004167152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0304620003Medicare NSC
MIU92780Medicare UPIN