Provider Demographics
NPI:1205944220
Name:DUNN, CHRISTOPHER E (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:E
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-468-0254
Mailing Address - Fax:239-343-3958
Practice Address - Street 1:19511 HIGHLAND OAKS DR STE 201
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9712
Practice Address - Country:US
Practice Address - Phone:239-468-0254
Practice Address - Fax:239-343-3958
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA31919207Q00000X
FLME162463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118953600Medicaid
IA080184656OtherRAILROAD MEDICARE
IA621306OtherUHC OF THE RIVER VALLEY
IA11042OtherWELLMARK BCBS
IA1158493Medicaid
IA44205Medicare PIN