Doctor Name: | DR. CHRISTINE MARIE CISNEROS |
NPI Number: | 1003004524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301407270 |
Business Practice Address: | 700 E Beardsley Ave Ste 100 Elkhart, IN - 465143366 |
Business Phone Number: | 5742068010 |
Business Fax Number: | |
Mailing Address: | 2760 Ember Way, ANN ARBOR |
State: | MI |
Postal Code: | 481046462 |
Phone Number: | 7349130949 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 07/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 4301407270 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |