MEDICARE: CHRIS R FARNUM 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	207RI0200X	Infectious Disease Physician	5101010431	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1153302124	OTHER	MI	BCBS ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770581621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS R FARNUM DO

Provider Business Mailing Address
First Line	:	3955 PATIENT CARE DR STE A
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-4271
Country	:	US
Telephone Number	:	517-374-7600
Fax Number	:	885-480-9150

Provider Business Practice Location Address
First Line	:	3955 PATIENT CARE WAY
Second Line	:	SUITE A
City	:	LANSING
State	:	MI
Zip	:	48911-4299
Country	:	US
Telephone Number	:	517-374-7600
Fax Number	:	517-374-1126

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	12/12/2025

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