Individual
MICHAEL K CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3310 W PURDUE AVENUE, MUNCIE, IN 47304-6355
(765) 281-1400
(765) 282-2133
Mailing address
3310 W PURDUE AVENUE, MUNCIE, IN 47304-6355
(765) 281-1400
(765) 282-2133
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01029431
IN
207ZD0900X
Dermatopathology (Pathology) Physician
01029431
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091505
BLUE CROSS
IN
Enumeration date
02/01/2006
Last updated
09/28/2010
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