Individual
MICHAEL E. CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 575-0114
(509) 575-0808
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00040061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8295362
—
WA
01
—
8941846
L&I CRIME VICTIM
WA
Enumeration date
09/14/2006
Last updated
02/03/2020
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