Individual
CRYSTAL G ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, LEVEL 4 UNIVERSITY HOSPITAL BLDG 1000312, ANN ARBOR, MI 48109-5240
(734) 647-9291
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008004
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/04/2016
Last updated
02/10/2020
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