Provider Demographics
NPI:1124280359
Name:COLLER, CHRISTOPHER HAYES (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HAYES
Last Name:COLLER
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8170 COUNTRY RAIL DR SW
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-9191
Mailing Address - Country:US
Mailing Address - Phone:616-330-1440
Mailing Address - Fax:866-308-1089
Practice Address - Street 1:2717 84TH ST SW
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-9230
Practice Address - Country:US
Practice Address - Phone:616-330-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017653207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine