Provider Demographics
| NPI: | 1619990710 |
|---|---|
| Name: | FINKEMEIER, CHRISTOPHER GLENN (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | CHRISTOPHER |
| Middle Name: | GLENN |
| Last Name: | FINKEMEIER |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 5897 GRANITE HILLS DR S |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GRANITE BAY |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 95746-6760 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 916-781-1382 |
| Mailing Address - Fax: | 916-781-1382 |
| Practice Address - Street 1: | 6620 COYLE AVE STE 212 |
| Practice Address - Street 2: | |
| Practice Address - City: | CARMICHAEL |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 95608-6337 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 916-536-9455 |
| Practice Address - Fax: | 916-536-9424 |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2006-07-26 |
| Last Update Date: | 2014-10-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | G87303 | 207X00000X, 207XX0801X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| No | 207XX0801X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| G59869 | Medicare UPIN | ||
| CA | 00G873030 | Medicare PIN |