Provider Demographics
NPI:1528276771
Name:MANEES, CHRISTOPHER ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:MANEES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4863 PALM COAST PKWY NW UNIT 2
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-3665
Mailing Address - Country:US
Mailing Address - Phone:386-222-7746
Mailing Address - Fax:386-310-2381
Practice Address - Street 1:4863 PALM COAST PKWY NW UNIT 2
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3665
Practice Address - Country:US
Practice Address - Phone:386-222-7746
Practice Address - Fax:386-310-2381
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96064208VP0014X
FLME121992208VP0014X, 207LP2900X
MI4301088007207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA96064OtherGA MEDICAL LICENSE