Healthcare Provider Details

I. General information

NPI: 1235375585
Provider Name (Legal Business Name): CRISTIN RAZVAN OPREANU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 LAKE LANSING RD STE 100
LANSING MI
48912-3788
US

IV. Provider business mailing address

1627 LAKE LANSING RD STE 100
LANSING MI
48912-3788
US

V. Phone/Fax

Practice location:
  • Phone: 517-372-0500
  • Fax: 517-482-3220
Mailing address:
  • Phone: 517-372-0500
  • Fax: 517-482-3220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301093541
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: