Provider Demographics
NPI:1255350252
Name:SUHRE, CHRISTOPHER DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DEAN
Last Name:SUHRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2 TERMINAL DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:EAST ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62024-2201
Mailing Address - Country:US
Mailing Address - Phone:618-259-1419
Mailing Address - Fax:618-259-1502
Practice Address - Street 1:2 TERMINAL DR
Practice Address - Street 2:SUITE 8
Practice Address - City:EAST ALTON
Practice Address - State:IL
Practice Address - Zip Code:62024-2201
Practice Address - Country:US
Practice Address - Phone:618-259-1419
Practice Address - Fax:618-259-1502
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036115801208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics