MEDICARE: CHRISTOPHER J. TRAYNOR MD

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	4351035633	MI
2	207X00000X	Orthopaedic Surgery Physician	71138	MN

General Provider Information

NPI Number	:	1285162776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J. TRAYNOR MD

Provider Business Mailing Address
First Line	:	1000 OAKLAND DR
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49008-1282
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 DAHLBERG DR STE 300
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55422-4841
Country	:	US
Telephone Number	:	952-512-5600
Fax Number	:

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

Provider Enumeration Date	:	05/26/2017
Last Update Date	:	05/09/2022

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