Individual
MICHAEL SCOTT CRANMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2611 WASHINGTON ST, PELLA, IA 50219-7924
(641) 628-9599
(641) 621-1493
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
085338
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326117805
—
IA
Enumeration date
09/11/2017
Last updated
09/11/2017
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