Organization
CROSWELL PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R SOLON III DPM (PRESIDENT)
(616) 774-9571
Entity
Organization
Contact information
Practice address
2460 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-4800
(616) 774-9571
Mailing address
2460 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-4800
(616) 774-9571
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4376578
—
MI
Enumeration date
12/24/2005
Last updated
09/01/2009
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