Organization
CREPS MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE SWARTZ PROFESSIONAL MEDICAL (CEO)
(989) 791-2455
Entity
Organization
Contact information
Practice address
1064 KENDALE PL, SAGINAW, MI 48609-6792
(989) 607-6003
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2224
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
5101011298
MI
Other
Enumeration date
11/24/2010
Last updated
07/26/2011
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