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Individual

CRYSTAL MEGAN CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
PO BOX 74007185, CHICAGO, IL 60674-7185
(855) 691-9890
(781) 276-6403

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
MI
363A00000X
Physician Assistant
Primary
5601009815
MI
390200000X
Student in an Organized Health Care Education/Training Program
MI

Other

Enumeration date
05/03/2015
Last updated
01/30/2020
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