Provider Demographics
NPI:1588357925
Name:FLUGGA, CHRISTOPHER R
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:FLUGGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 N TEXAS LN
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-9319
Mailing Address - Country:US
Mailing Address - Phone:502-494-1533
Mailing Address - Fax:
Practice Address - Street 1:3921 WILDER RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2127
Practice Address - Country:US
Practice Address - Phone:989-684-5526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician