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Individual

DR. MICHAEL DAVID CRISWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
652 COLEMAN BLVD, SUITE 104, MOUNT PLEASANT, SC 29464
(843) 849-2717
(843) 849-2718
Mailing address
652 COLEMAN BLVD, SUITE 104, MOUNT PLEASANT, SC 29464
(843) 849-2717
(843) 849-2718

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1418
SC

Other

Enumeration date
07/20/2006
Last updated
08/18/2008
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