Healthcare Provider Details

I. General information

NPI: 1477340933
Provider Name (Legal Business Name): CHRISTOPHER KOTSONES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

2745 BARCLAY WAY
ANN ARBOR MI
48105-9458
US

V. Phone/Fax

Practice location:
  • Phone: 734-998-4511
  • Fax:
Mailing address:
  • Phone: 734-645-8513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302412183
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: