Provider Demographics
NPI:1427342609
Name:MU, CHRISTINA
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:MU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WATERS RD
Mailing Address - Street 2:T-0634
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-8999
Mailing Address - Country:US
Mailing Address - Phone:734-996-5547
Mailing Address - Fax:734-996-5547
Practice Address - Street 1:2000 WATERS RD
Practice Address - Street 2:T-0634
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-8999
Practice Address - Country:US
Practice Address - Phone:734-996-5547
Practice Address - Fax:734-996-5547
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist