Individual
WOLFGANG V. CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704327082
MI
363LA2100X
Acute Care Nurse Practitioner
4704327082NSA2205T
MI
Other
Enumeration date
02/25/2022
Last updated
11/29/2022
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