Individual
CRYSTAL M VOLLSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4924 SMITHS CREEK RD, KIMBALL, MI 48074-3910
(810) 357-2437
Mailing address
4924 SMITHS CREEK RD, KIMBALL, MI 48074-3910
(810) 357-2437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092603
MI
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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