Individual
KIRSTEN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2852 EYDE PKWY, EAST LANSING, MI 48823-6817
(517) 333-4600
Mailing address
3814 CAMELOT DR SE APT 2B, GRAND RAPIDS, MI 49546-6046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010820
MI
Other
Enumeration date
11/10/2021
Last updated
01/21/2022
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