Individual
DR. MICHAEL CRISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1644 MEDICAL CENTER PT STE 200, COLORADO SPRINGS, CO 80907
(719) 634-1994
(719) 634-2906
Mailing address
1715 N CASCADE AVE, COLORADO SPRINGS, CO 80907-7446
(719) 630-7999
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18103
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181031
—
CO
Enumeration date
07/11/2005
Last updated
05/29/2018
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