Provider Demographics
NPI:1053369058
Name:MICHAEL, CHRISTINA STEPHANIE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:STEPHANIE
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6355 WALKER LN
Mailing Address - Street 2:SUITE 505
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3245
Mailing Address - Country:US
Mailing Address - Phone:703-971-4444
Mailing Address - Fax:703-971-8888
Practice Address - Street 1:6355 WALKER LN
Practice Address - Street 2:SUITE 505
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3245
Practice Address - Country:US
Practice Address - Phone:703-971-4444
Practice Address - Fax:703-971-8888
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102050110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG32959Medicare UPIN