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Home > MI Providers > Diagnostic Radiologists

Dr. Christopher K. Shier, MD

(Dr. Christopher Karl Shier, MD)

(No ratings)

Specializes in: Diagnostic Radiology

University of Toronto Faculty of Medicine (1984)

1215 E. Michigan Avenue
Lansing, MI 48912

(517) 364-2315

Dr. Christopher K. Shier, MD is a diagnostic radiologist in Lansing, MI specializing in diagnostic radiology. He graduated from University of Toronto Faculty of Medicine in 1984 and has 42 years of experience. Dr. Christopher K. Shier, MD is affiliated with University of Michigan Health-Sparrow and EDWARD W SPARROW HOSPITAL ASSOCIATION.

Office Locations

University of Michigan Health-Sparrow

1215 E. Michigan Avenue
Lansing, MI 48912

(517) 364-2315

open_in_new

1234 Napier Avenue
Saint Joseph, MI 49085

(269) 983-8300

(269) 983-6965

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Noteworthy Medicare Patient Procedures Performed by Dr. Christopher K. Shier, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

X-rays

In 2023, Dr. Christopher K. Shier, MD had a list price for X-rays that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Michigan. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

spine MRI

In 2023, Dr. Christopher K. Shier, MD had a list price for spine MRI that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Michigan. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

dual-energy X-ray absorptiometry

MRI

pelvic CT scan

In 2012, Dr. Christopher K. Shier, MD had a list price for abdominal CT scan, bone density test, brain MRI, central DEXA, chest CT scan, CT scan, dual-energy X-ray absorptiometry (DEXA), MRI (magnetic resonance imaging), and pelvic CT scan that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Michigan. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2012 were X-rays, thoracic (chest) imaging, MRI (magnetic resonance imaging) and women's imaging.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	402
brain imaging (neuroimaging)	515
breast procedures	557
CT scan	471
diagnostic imaging	44
gastrointestinal procedures	27
hip imaging	148
MRI (magnetic resonance imaging)	563
musculoskeletal imaging	303
neck imaging	39
nuclear scan	27
pelvic imaging	179
preventive care	504
spinal procedures	248
thoracic (chest) imaging	1682
ultrasound (sonogram)	274
vascular procedures	190
women's imaging	557
X-rays	2551

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2013 were X-rays, thoracic (chest) imaging, CT scan and MRI (magnetic resonance imaging).

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	456
brain imaging (neuroimaging)	473
breast procedures	477
CT scan	554
diagnostic imaging	46
diagnostic procedures	15
excision	15
gastrointestinal procedures	35
hip imaging	145
image guided procedures	15
minimally invasive procedures	15
minor procedures	15
MRI (magnetic resonance imaging)	486
musculoskeletal imaging	284
neck imaging	15
nuclear scan	42
open surgery	15
pelvic imaging	256
preventive care	421
spinal procedures	232
thoracic (chest) imaging	1429
ultrasound (sonogram)	276
vascular procedures	131
women's imaging	477
X-rays	2173

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	1132
Female	1995

**Ethnicity**
Non-Hispanic White	2492
Black	551
Hispanic	45
Asian	0
Other	23
Native American	0

**Age**
From 65 to 74	1043
From 75 to 84	880
85 and over	502
Less than 65	702

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2013

Hypertension	75
High Cholesterol	59
Stroke	10
Ischemic Heart Disease	47
Depression	29
Chronic Kidney Disease	36
Asthma	12
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	30
Chronic Obstructive Pulmonary Disease	29
Diabetes	36
Dementia	15
Cancer	15

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2014 were X-rays, thoracic (chest) imaging, women's imaging and breast procedures.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	384
brain imaging (neuroimaging)	497
breast procedures	616
CT scan	578
diagnostic imaging	46
gastrointestinal procedures	12
hip imaging	155
MRI (magnetic resonance imaging)	540
musculoskeletal imaging	278
neck imaging	12
pelvic imaging	207
preventive care	553
spinal procedures	254
thoracic (chest) imaging	1429
ultrasound (sonogram)	241
vascular procedures	135
women's imaging	616
X-rays	2287

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	1134
Female	2050

**Ethnicity**
Non-Hispanic White	2532
Black	555
Hispanic	41
Asian	12
Other	28
Native American	16

**Age**
From 65 to 74	1105
From 75 to 84	868
85 and over	507
Less than 65	704

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2014

Hypertension	75
High Cholesterol	60
Stroke	10
Ischemic Heart Disease	43
Depression	29
Chronic Kidney Disease	36
Asthma	11
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	26
Chronic Obstructive Pulmonary Disease	27
Diabetes	34
Dementia	14
Cancer	15

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2015 were X-rays, thoracic (chest) imaging, CT scan and women's imaging.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	462
brain imaging (neuroimaging)	422
breast procedures	523
CT scan	597
diagnostic imaging	58
endocrine imaging	11
gastrointestinal procedures	30
hip imaging	142
MRI (magnetic resonance imaging)	383
musculoskeletal imaging	293
neck imaging	22
nuclear scan	42
pelvic imaging	258
preventive care	423
spinal procedures	213
thoracic (chest) imaging	1419
thyroid function tests	11
ultrasound (sonogram)	427
vascular procedures	144
women's imaging	539
X-rays	2150

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	2296
Female	3958

**Ethnicity**
Non-Hispanic White	5156
Black	920
Hispanic	76
Asian	0
Other	56
Native American	0

**Age**
From 65 to 74	2294
From 75 to 84	1736
85 and over	1036
Less than 65	1188

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2015

Hypertension	75
High Cholesterol	61
Stroke	9
Ischemic Heart Disease	44
Depression	29
Chronic Kidney Disease	37
Asthma	18
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	27
Chronic Obstructive Pulmonary Disease	28
Diabetes	35
Dementia	15
Cancer	16

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2016 were X-rays, thoracic (chest) imaging, CT scan and women's imaging.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	466
brain imaging (neuroimaging)	416
breast procedures	530
CT scan	689
diagnostic imaging	32
hip imaging	48
MRI (magnetic resonance imaging)	329
musculoskeletal imaging	142
neck imaging	13
pelvic imaging	246
preventive care	452
spinal procedures	183
thoracic (chest) imaging	1505
ultrasound (sonogram)	324
vascular procedures	119
women's imaging	530
X-rays	2048

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	1147
Female	2001

**Ethnicity**
Non-Hispanic White	2641
Black	400
Hispanic	43
Asian	16
Other	33
Native American	15

**Age**
From 65 to 74	1203
From 75 to 84	852
85 and over	563
Less than 65	530

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2016

Hypertension	75
High Cholesterol	61
Stroke	9
Ischemic Heart Disease	43
Depression	29
Chronic Kidney Disease	41
Asthma	28
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	27
Chronic Obstructive Pulmonary Disease	27
Diabetes	35
Dementia	15
Cancer	16

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2017 were X-rays, thoracic (chest) imaging, CT scan and women's imaging.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	430
brain imaging (neuroimaging)	369
breast procedures	502
CT scan	564
diagnostic imaging	57
gastrointestinal procedures	14
hip imaging	42
MRI (magnetic resonance imaging)	349
musculoskeletal imaging	166
nuclear scan	14
pelvic imaging	239
preventive care	411
spinal procedures	233
thoracic (chest) imaging	1299
ultrasound (sonogram)	278
vascular procedures	110
women's imaging	502
X-rays	1951

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	1101
Female	1923

**Ethnicity**
Non-Hispanic White	2521
Black	392
Hispanic	37
Asian	16
Other	44
Native American	14

**Age**
From 65 to 74	1184
From 75 to 84	838
85 and over	484
Less than 65	518

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2017

Hypertension	75
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	42
Depression	32
Chronic Kidney Disease	42
Asthma	11
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	26
Chronic Obstructive Pulmonary Disease	28
Diabetes	37
Dementia	15
Cancer	17

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2018 were CT scan, MRI (magnetic resonance imaging), brain imaging (neuroimaging) and X-rays.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	323
brain imaging (neuroimaging)	556
breast procedures	317
cardiac procedures	13
CT scan	820
diagnostic imaging	16
eye procedures	11
hip imaging	31
MRI (magnetic resonance imaging)	798
musculoskeletal imaging	255
neck imaging	27
nuclear scan	71
pelvic imaging	280
preventive care	273
spinal procedures	416
stress testing	13
thoracic (chest) imaging	318
ultrasound (sonogram)	123
vascular procedures	90
women's imaging	317
X-rays	474

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	1084
Female	1801

**Ethnicity**
Non-Hispanic White	2490
Black	228
Hispanic	88
Asian	0
Other	48
Native American	0

**Age**
From 65 to 74	1230
From 75 to 84	786
85 and over	354
Less than 65	515

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2018

Hypertension	75
High Cholesterol	59
Stroke	11
Ischemic Heart Disease	39
Depression	37
Chronic Kidney Disease	40
Asthma	11
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	24
Chronic Obstructive Pulmonary Disease	25
Diabetes	36
Dementia	19
Cancer	16

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2019 were women's imaging, breast procedures, X-rays and CT scan.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	190
brain imaging (neuroimaging)	415
breast procedures	609
cardiac procedures	11
CT scan	536
diagnostic imaging	101
MRI (magnetic resonance imaging)	486
musculoskeletal imaging	89
neck imaging	20
nuclear scan	28
pelvic imaging	158
preventive care	404
spinal procedures	276
stress testing	11
thoracic (chest) imaging	192
ultrasound (sonogram)	229
vascular procedures	107
women's imaging	609
X-rays	574

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	752
Female	1439

**Ethnicity**
Non-Hispanic White	1863
Black	192
Hispanic	75
Asian	0
Other	38
Native American	0

**Age**
From 65 to 74	998
From 75 to 84	587
85 and over	230
Less than 65	376

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2019

Hypertension	71
High Cholesterol	57
Stroke	12
Ischemic Heart Disease	34
Depression	37
Chronic Kidney Disease	36
Asthma	11
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	22
Chronic Obstructive Pulmonary Disease	23
Diabetes	32
Dementia	16
Cancer	16

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2020 were women's imaging, breast procedures, X-rays and preventive care.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	65
brain imaging (neuroimaging)	183
breast procedures	720
CT scan	206
diagnostic imaging	135
MRI (magnetic resonance imaging)	168
musculoskeletal imaging	11
pelvic imaging	65
preventive care	405
spinal procedures	70
thoracic (chest) imaging	56
ultrasound (sonogram)	180
women's imaging	720
X-rays	551

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	280
Female	926

**Ethnicity**
Non-Hispanic White	1035
Black	95
Hispanic	32
Asian	0
Other	31
Native American	0

**Age**
From 65 to 74	561
From 75 to 84	327
85 and over	100
Less than 65	218

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2020

Hypertension	68
High Cholesterol	55
Stroke	10
Ischemic Heart Disease	32
Depression	39
Chronic Kidney Disease	40
Asthma	11
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	22
Chronic Obstructive Pulmonary Disease	22
Diabetes	32
Dementia	18
Cancer	18

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2021 were X-rays, MRI (magnetic resonance imaging), CT scan and women's imaging.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	27
brain imaging (neuroimaging)	60
breast procedures	76
CT scan	76
diagnostic imaging	15
MRI (magnetic resonance imaging)	79
musculoskeletal imaging	37
pelvic imaging	27
preventive care	29
spinal procedures	19
thoracic (chest) imaging	49
ultrasound (sonogram)	32
women's imaging	76
X-rays	81

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	144
Female	298

**Ethnicity**
Non-Hispanic White	378
Black	36
Hispanic	17
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	202
From 75 to 84	115
85 and over	39
Less than 65	86

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2021

Hypertension	75
High Cholesterol	61
Stroke	14
Ischemic Heart Disease	34
Depression	38
Chronic Kidney Disease	44
Asthma	13
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	24
Chronic Obstructive Pulmonary Disease	29
Diabetes	34
Dementia	17
Cancer	22

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI during 2022 were musculoskeletal imaging, X-rays, MRI (magnetic resonance imaging) and CT scan.

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

abdominal imaging	77
brain imaging (neuroimaging)	41
CT scan	93
MRI (magnetic resonance imaging)	94
musculoskeletal imaging	155
nuclear scan	11
pelvic imaging	37
spinal procedures	13
thoracic (chest) imaging	56
X-rays	144

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	206
Female	439

**Ethnicity**
Non-Hispanic White	573
Black	30
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	317
From 75 to 84	163
85 and over	60
Less than 65	105

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2022

Hypertension	72
High Cholesterol	67
Stroke	12
Ischemic Heart Disease	23
Depression	35
Chronic Kidney Disease	27
Asthma	16
Osteoperosis	22
Atrial Fibrilation	17
Heart Failure	16
Chronic Obstructive Pulmonary Disease	26
Diabetes	30
Dementia	8
Cancer	29

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Christopher K. Shier, MD for Medicare patients.

The highest averages for the top procedures that Dr. Christopher K. Shier, MD treated as a diagnostic radiologist in Lansing, MI were X-rays, thoracic (chest) imaging, women's imaging and breast procedures.

abdominal imaging	298
brain imaging (neuroimaging)	358
breast procedures	492
cardiac procedures	12
CT scan	471
diagnostic imaging	55
diagnostic procedures	15
endocrine imaging	11
excision	15
eye procedures	11
gastrointestinal procedures	23
hip imaging	101
image guided procedures	15
minimally invasive procedures	15
minor procedures	15
MRI (magnetic resonance imaging)	388
musculoskeletal imaging	183
neck imaging	21
nuclear scan	33
open surgery	15
pelvic imaging	177
preventive care	387
spinal procedures	196
stress testing	12
thoracic (chest) imaging	857
thyroid function tests	11
ultrasound (sonogram)	238
vascular procedures	128
women's imaging	494
X-rays	1362

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Christopher K. Shier, MD.

**Gender**
Male	843
Female	1530

**Ethnicity**
Black / African American	309
Asian / Pacific Islander	4
Non-Hispanic White	1971
Hispanic	43
Native American / Alaskan Native	4
Other	27

**Age**
75 to 84	650
85 and over	352
Less than 65	449
65 to 74	921

Average of Total of Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Christopher K. Shier, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	66
High Cholesterol	54
Stroke	9
Ischemic Heart Disease	34
Depression	30
Chronic Kidney Disease	34
Asthma	12
Osteoporosis	11
Heart Failure	22
Chronic Obstructive Pulmonary Disease	24
Diabetes	31
Atrial Fibrillation	13
Cancer	16
Dementia	13

Education & Training

Dr. Christopher K. Shier, MD graduated from University of Toronto Faculty of Medicine in 1984. He completed residency at Henry Ford Hospital. He is certified by the American Board of Radiology - RAD, Diagnostic Radiology and has a state license in Michigan.

Medical School: University of Toronto Faculty of Medicine (1984)

Residency: Henry Ford Hospital (1988)

Board Certification: American Board of Radiology - RAD, Diagnostic Radiology

Licensed In: Michigan

Affiliations & Hospitals

Dr. Christopher K. Shier, MD is associated with these hospitals and organizations:

University of Michigan Health-Sparrow

EDWARD W SPARROW HOSPITAL ASSOCIATION

Ratings & Reviews

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Biography

Dr. Christopher Shier specializes in diagnostic radiology. Dr. Shier's education and training includes medical school at the University of Toronto Faculty of Medicine and residency at Henry Ford Hospital. He is affiliated with the University of Michigan Health-Sparrow.

Select Year:

Dr. Christopher K. Shier, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Christopher K. Shier, MD in 2023

By Affordability:

By Affordability:

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Christopher K. Shier, MD From 2012 - 2022

Education & Training

Affiliations & Hospitals

Ratings & Reviews

Biography

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