MEDICARE: DR. CHRISTOPHER MICHAEL DURNER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	34-066259	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033196274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MICHAEL DURNER DO

Provider Business Mailing Address
First Line	:	444 N MAIN ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-3110
Country	:	US
Telephone Number	:	330-379-5235
Fax Number	:	330-379-9226

Provider Business Practice Location Address
First Line	:	444 N MAIN ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-3110
Country	:	US
Telephone Number	:	330-379-5235
Fax Number	:	330-379-9226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	07/08/2007

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