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NPI Code Detail

MEDICARE: CHRISTOPHER DAVID PATE

MEDICARE: CHRISTOPHER DAVID PATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1326619719
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER DAVID PATE
Provider Business Mailing Address
First Line : 32175 HAVERHILL ST
Second Line :
City : NEW HAVEN
State : MI
Zip : 48048-1960
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19750 BURT RD
Second Line :
City : DETROIT
State : MI
Zip : 48219-2078
Country : US
Telephone Number : 313-531-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 04/26/2026

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