Individual
CRYSTAL LEE HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2790 HEALTH PKWY, MOUNT PLEASANT, MI 48858-6934
(989) 953-5320
Mailing address
2790 HEALTH PKWY, MOUNT PLEASANT, MI 48858-6934
(989) 953-5320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351046769
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046769
MI
Other
Enumeration date
06/11/2020
Last updated
05/23/2024
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