Provider Demographics
NPI:1396830527
Name:SCHUBERT, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:SCHUBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5600
Mailing Address - Street 2:855 MANKATO AVENUE
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-0006
Mailing Address - Country:US
Mailing Address - Phone:507-457-4160
Mailing Address - Fax:507-457-4160
Practice Address - Street 1:855 MANKATO AVENUE
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-0006
Practice Address - Country:US
Practice Address - Phone:507-457-4484
Practice Address - Fax:507-457-4160
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32431207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34616200OtherMA
MN534S8SCOtherBCBS
MN534S8SCOtherBCBS