Individual
MICHAEL DAVID CRUMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 974-9361
Mailing address
216 YORK RD, GREENVILLE, NC 27858-5601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-15119
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2024
Last updated
02/20/2025
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