Provider Demographics
NPI:1306872288
Name:BUATTI, CHRISTOFER NATALE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOFER
Middle Name:NATALE
Last Name:BUATTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 AUBURN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3396
Mailing Address - Country:US
Mailing Address - Phone:248-378-3247
Mailing Address - Fax:248-499-7436
Practice Address - Street 1:3400 AUBURN RD STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3396
Practice Address - Country:US
Practice Address - Phone:248-858-2255
Practice Address - Fax:248-499-7436
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016099207R00000X, 208M00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI70-0-F32947-0OtherBCBS CPIN #
MIP28070107Medicare PIN