Provider Demographics
NPI:1992291496
Name:SHEELER, CHRISTINE VICTORIA (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:VICTORIA
Last Name:SHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 DOURO ST.
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N5A0E6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:444 DOURO ST.
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:ONTARIO
Practice Address - Zip Code:N5A0E6
Practice Address - Country:CA
Practice Address - Phone:519-271-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-08
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301115740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine