Healthcare Provider Details
I. General information
NPI: 1619990710
Provider Name (Legal Business Name): CHRISTOPHER GLENN FINKEMEIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 10/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6620 COYLE AVE STE 212
CARMICHAEL CA
95608-6337
US
IV. Provider business mailing address
5897 GRANITE HILLS DR S
GRANITE BAY CA
95746-6760
US
V. Phone/Fax
- Phone: 916-536-9455
- Fax: 916-536-9424
- Phone: 916-781-1382
- Fax: 916-781-1382
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | G87303 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XX0801X |
| Taxonomy | Orthopaedic Trauma Physician |
| License Number | G87303 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: