Individual
DR. MICHELLE MCCRUMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
395 STATE RD, STE3, VINEYARD HAVEN, MA 02568-5693
(508) 696-8877
(508) 696-8871
Mailing address
395 STATE RD STE 3, VINEYARD HAVEN, MA 02568-5693
(508) 696-8877
(508) 696-8871
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1675
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y70739
MEDICARE PTAN
—
Enumeration date
05/12/2006
Last updated
02/15/2017
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