Healthcare Provider Details

I. General information

NPI: 1427217074
Provider Name (Legal Business Name): DR. CHRISTINA HARSANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2008
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 ELLIOTT DR STE 104
YPSILANTI MI
48197-8633
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR PO BOX 0446 LOBBY J
ANN ARBOR MI
48106-0446
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-8150
  • Fax: 734-712-8151
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301092514
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: