Individual
HOLLY AYN CRONKRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2782 S OTSEGO AVE, GAYLORD, MI 49735-9404
(989) 497-2500
(989) 732-6577
Mailing address
2782 S OTSEGO AVE, GAYLORD, MI 49735-9404
(989) 497-2500
(989) 732-6577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010G27604
BCBS OF MICHIGAN
MI
01
—
080G310660
BCBS MI
MI
01
—
1010143
MCLAREN HEALTH PLAN
—
01
—
139500
GREAT LAKES HEALTH PLAN
—
01
—
253
COMMUNITY CHOICE
MI
01
—
3500576
MOLINA HEALTH CARE
MI
01
—
P00214270
RAILROAD MEDICARE
—
Enumeration date
10/06/2005
Last updated
08/24/2021
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