Healthcare Provider Details

I. General information

NPI: 1972948602
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL ARCHANGELI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2013
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2345
US

IV. Provider business mailing address

1000 HOUGHTON AVE
SAGINAW MI
48602-5303
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-6380
  • Fax: 231-935-6920
Mailing address:
  • Phone: 989-746-7612
  • Fax: 989-746-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301115110
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number042.0013466
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: