Individual
DR. JACLYN SUMMER LISTON-CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2218 US HIGHWAY 27 N, TEKONSHA, MI 49092-9261
(517) 767-4038
(517) 767-3427
Mailing address
2218 US HIGHWAY 27 N, TEKONSHA, MI 49092-9261
(517) 767-4038
(517) 767-3427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301089625
MI
Other
Enumeration date
04/23/2007
Last updated
12/16/2014
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