Provider Demographics
NPI:1255457594
Name:FOX, CHRISTI M (PA)
Entity type:Individual
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First Name:CHRISTI
Middle Name:M
Last Name:FOX
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Gender:F
Credentials:PA
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Mailing Address - Street 1:38935 ANN ARBOR RD
Mailing Address - Street 2:CREDENTIALING DEPT.
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-3397
Mailing Address - Country:US
Mailing Address - Phone:734-805-0488
Mailing Address - Fax:866-250-6385
Practice Address - Street 1:8260 ATLEE RD
Practice Address - Street 2:EMERGENCY DEPT.
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1844
Practice Address - Country:US
Practice Address - Phone:804-559-9902
Practice Address - Fax:804-559-9904
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2014-01-09
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Provider Licenses
StateLicense IDTaxonomies
VA0110002177363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical