Individual
MICHAEL CRADEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 10TH ST APT 1, PROVIDENCE, RI 02906-2918
(805) 279-5465
Mailing address
42 10TH ST APT 1, PROVIDENCE, RI 02906-2918
(805) 279-5465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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