Provider Demographics
NPI:1972751824
Name:MERCHANT, CHRISTOPHER ROSS (MS/)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROSS
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:MS/
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 PHEASANT RUN CIR
Mailing Address - Street 2:APT 7
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2459
Mailing Address - Country:US
Mailing Address - Phone:302-670-7453
Mailing Address - Fax:
Practice Address - Street 1:4250 PLYMOUTH RD
Practice Address - Street 2:SUITE 2133
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2700
Practice Address - Country:US
Practice Address - Phone:734-232-0498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program