Individual
CRYSTAL A DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5950 METRO WAY SW, WYOMING, MI 49519-9514
(616) 252-8180
Mailing address
5950 METRO WAY SW, WYOMING, MI 49519-9514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003897
MI
Other
Enumeration date
08/08/2006
Last updated
02/16/2023
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