Individual
DR. MICHAEL JONATHAN CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M170A, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Mailing address
601 JOHN ST, SUITE M170A, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301071577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0390406
BCBS IND PIN
MI
01
—
110C910470
BCBS GRP PIN
MI
01
—
122888
GREAT LAKES HLTH PLN
—
01
—
1417961137
BCBS (BRONSON)
MI
05
—
1447293469
—
MI
05
—
3482502-10
—
MI
01
—
7683307
AETNA PIN
—
Enumeration date
06/14/2006
Last updated
11/27/2023
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