Individual
BRIAN M CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
5884 A ST, ALPENA, MI 49707-8172
(989) 354-6423
Mailing address
5884 A ST, ALPENA, MI 49707-8172
(989) 354-6423
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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