MEDICARE: DR. CHRISTOPHER R PAPP M.D.

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
1	207W00000X	Ophthalmology Physician	01062242A	IN
2	207W00000X	Ophthalmology Physician	35091217	OH
3	207W00000X	Ophthalmology Physician	4301080629	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669493342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER R PAPP M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3820
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48106-3820
Country	:	US
Telephone Number	:	248-826-4929
Fax Number	:	248-278-6096

Provider Business Practice Location Address
First Line	:	321 PETTIBONE ST
Second Line	:	SUITE 103
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-6000
Country	:	US
Telephone Number	:	248-782-8120
Fax Number	:	248-278-6096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	01/17/2014

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Directions to “ DR. CHRISTOPHER R PAPP M.D.” Practice Location

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