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Individual

DR. ALLAN WARREN CRUMMETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
1804 OAK AVE., MUSKEGON, MI 49442
(231) 773-8093
(231) 773-8952
Mailing address
1804 OAK AVE., MUSKEGON, MI 49442
(231) 773-8093
(231) 773-8952

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301006533
MI
103TF0000X
Family Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680F14520
BLUECROSS OF MICHIGAN
MI
01
M029687
TRICARE
MI
Enumeration date
01/30/2006
Last updated
09/24/2010
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