CHRISTIAN MUDRY NPI 1013623594

NPI Information

NPI: 1013623594
Provider Name: CHRISTIAN MUDRY
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
5914 N LOTZ RD
CANTON, MI
ZIP 48187
Phone: (734) 394-4635
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Christian Mudry is an orthotic fitter in Canton, MI. The provider is an individual trained in the management of fitting prefabricated orthoses. Christian Mudry NPI is 1013623594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5914 N LOTZ RD
CANTON, MI
ZIP 48187-331
Phone: (734) 394-4635

The enumeration date for this NPI number is 1/27/2023 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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