Individual
DR. CRYSTAL MARIE CARMICHEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 851-7423
(510) 879-9120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036127381
IL
207Q00000X
Family Medicine Physician
2011035523
MO
208M00000X
Hospitalist Physician
Primary
036127381
IL
Other
Enumeration date
06/22/2008
Last updated
10/06/2021
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