Provider Demographics
NPI:1942258199
Name:DOIG, CHRISTOPHER THOMAS (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:DOIG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18306 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-5007
Mailing Address - Country:US
Mailing Address - Phone:248-477-2360
Mailing Address - Fax:
Practice Address - Street 1:18306 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-5007
Practice Address - Country:US
Practice Address - Phone:248-477-2360
Practice Address - Fax:248-477-8356
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5823218OtherBLUE CROSS BLUE SHIELD MI
MI111915722Medicaid
MI5823218OtherBLUE CARE NETWORK
MIB7460OtherMCARE
MI111915722Medicaid
MI5823218OtherBLUE CROSS BLUE SHIELD MI