MEDICARE: DR. CHRISTOPHER DAVID ZEHNDER OD

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	152W00000X	Optometrist	4901004167	MI

General Provider Information

NPI Number	:	1679578124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER DAVID ZEHNDER OD

Provider Business Mailing Address
First Line	:	504 N FRANKLIN ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1000
Country	:	US
Telephone Number	:	989-652-2626
Fax Number	:	989-652-2643

Provider Business Practice Location Address
First Line	:	504 N FRANKLIN ST
Second Line	:
City	:	FRANKENMUTH
State	:	MI
Zip	:	48734-1000
Country	:	US
Telephone Number	:	989-652-2626
Fax Number	:	989-652-2643

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/17/2007

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