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Individual

MICHAEL CRESWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 RAINBOW BLVD # MS 3016, KANSAS CITY, KS 66160-8500
(913) 588-3173
Mailing address
5418 BELINDER RD, FAIRWAY, KS 66205-2428
(206) 619-6001

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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