Healthcare Provider Details

I. General information

NPI: 1982851374
Provider Name (Legal Business Name): JANET MARIE CHRISTMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 02/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 PROFESSIONAL DR
ANN ARBOR MI
48104-5131
US

IV. Provider business mailing address

PO BOX 3673
ANN ARBOR MI
48106-3673
US

V. Phone/Fax

Practice location:
  • Phone: 734-973-0710
  • Fax: 734-973-0595
Mailing address:
  • Phone: 734-973-0710
  • Fax: 734-973-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4704198938
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number4704198938
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: