| Dr Christopher Addison Prince, MD | |
|
4587 Cleveland Ave, Stevensville, MI 49127-9510 | |
| (269) 429-9052 | |
| Not Available |
| Full Name | Dr Christopher Addison Prince |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4587 Cleveland Ave, Stevensville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902989635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301046475 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 49384 (Iowa) | Primary |
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Entity Name | Kayenta Alternative Rural Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Addison Prince, MD 4587 Cleveland Ave, Stevensville, MI 49127-9510 Ph: (269) 429-9052 | Dr Christopher Addison Prince, MD 4587 Cleveland Ave, Stevensville, MI 49127-9510 Ph: (269) 429-9052 |