Individual
MICHAEL PAULUS CRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
502 N CHERRY ST, VALENTINE, NE 69201-1518
(402) 376-2200
(402) 376-2219
Mailing address
502 N CHERRY ST, VALENTINE, NE 69201-1518
(402) 376-2200
(402) 376-2219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1064
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47083768800
—
NE
Enumeration date
08/30/2006
Last updated
02/03/2010
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