Individual
MRS. MICHELLE ELIZABETH CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2104 E 11 MILE RD STE 600, WARREN, MI 48091-6123
(734) 464-0887
(734) 402-0254
Mailing address
4967 CROOKS RD, STE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004294
MI
Other
Enumeration date
10/17/2006
Last updated
08/18/2015
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