Organization
CRYSTAL HEALTH SOLUTIONS MICHIGAN LLC
Active
Organization
CRYSTAL HEALTH SOLUTIONS MICHIGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB C MOENCH (OWNER)
(385) 368-6377
Entity
Organization
Contact information
Practice address
160 CUTLER DR STE 200, NORTH SALT LAKE, UT 84054-2967
(801) 631-3570
Mailing address
721 N MAIN ST # 220, LAYTON, UT 84041-2231
(801) 631-3570
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
08/15/2025
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