Dr. Christine Marie Cisneros, M.D.
Preventive Medicine, Occupational Medicine in Elkhart, IN. Individual provider (NPI-1).
NPI number1003004524
StatusActive
Last updated in NPPESJul 29, 2012
Details
- NPI
- 1003004524
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christine Marie Cisneros
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2007
- Last updated
- Jul 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | 4301407270 | MI | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 4301407270 | MI | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 036-108497 | IL |
Practice location
700 E Beardsley AveSte 100
Elkhart, IN 46514-3366
Phone 574-206-8010
Mailing address
2760 Ember WayAnn Arbor, MI 48104-6462
Phone 734-913-0949
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