Provider Demographics
NPI:1700080140
Name:MASSIER, CHRISTIAN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:GEORGE
Last Name:MASSIER
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 1:1669 SPERRYS FORGE TRL
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2017
Mailing Address - Country:US
Mailing Address - Phone:440-617-9218
Mailing Address - Fax:
Practice Address - Street 1:5700 COOPER FOSTER PARK RD W
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4140
Practice Address - Country:US
Practice Address - Phone:440-204-7400
Practice Address - Fax:440-204-7401
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.095006208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery