MEDICARE: DR. CHRISTINE MARIE RAMIREZ M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	4301515898	MI

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	:	1144546250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MARIE RAMIREZ M.D.

Provider Business Mailing Address
First Line	:	5515 CLEVELAND AVE STE 1
Second Line	:
City	:	STEVENSVILLE
State	:	MI
Zip	:	49127-9669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5515 CLEVELAND AVE STE 1
Second Line	:
City	:	STEVENSVILLE
State	:	MI
Zip	:	49127-9669
Country	:	US
Telephone Number	:	269-429-6604
Fax Number	:

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

Provider Enumeration Date	:	04/14/2010
Last Update Date	:	03/24/2026

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