Individual
JOHN D CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9374 SCOTT HALL 540 E CANFIELD AVE, WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE, DETROIT, MI 48201-1928
(313) 577-1335
(313) 577-8777
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301043946
MI
Other
Enumeration date
06/07/2006
Last updated
02/06/2014
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