MEDICARE: CHRISTOPHER JAMES WEBSTER D.O.

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	207R00000X	Internal Medicine Physician	5101019312	MI

General Provider Information

NPI Number	:	1437442613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JAMES WEBSTER D.O.

Provider Business Mailing Address
First Line	:	1886 W AUBURN RD
Second Line	:	SUITE 400
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3865
Country	:	US
Telephone Number	:	248-290-3111
Fax Number	:	248-290-3100

Provider Business Practice Location Address
First Line	:	1886 W AUBURN RD
Second Line	:	SUITE 400
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-3865
Country	:	US
Telephone Number	:	248-290-3111
Fax Number	:	248-290-3100

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

Provider Enumeration Date	:	05/23/2011
Last Update Date	:	10/27/2016

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