Provider Demographics
NPI:1043312820
Name:ROHR, CHRISTINE I (DO)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:I
Last Name:ROHR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5303
Mailing Address - Country:US
Mailing Address - Phone:989-583-6800
Mailing Address - Fax:989-583-6915
Practice Address - Street 1:1000 HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-583-6800
Practice Address - Fax:989-583-6915
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5730079OtherBCBSM
MI1043312820Medicaid
MA381870664OtherTAXID
MI700G360210OtherBCBSM
MI0991245OtherHEALTHPLUS
MI110215142OtherRAILROAD MEDICARE
MI102383OtherGREAT LAKES HEALTH PLAN
MICR012605OtherLICENSE
20384OtherCOMMUNITY CHOICE MICHIGAN
MI110215142OtherRAILROAD MEDICARE
MI102383OtherGREAT LAKES HEALTH PLAN