Individual
MICHAEL AARON CROMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
5656 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-6412
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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