Individual
NICOLE M CRESALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301102334
MI
208000000X
Pediatrics Physician
A149944
CA
2080P0202X
Pediatric Cardiology Physician
4301102334
MI
2080P0202X
Pediatric Cardiology Physician
Primary
A149944
CA
Other
Enumeration date
07/13/2010
Last updated
03/17/2018
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