Individual
CRAIG ALLEN VISSERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
4868 LAKE MICHIGAN DR, ALLENDALE, MI 49401-8434
(616) 391-7849
Mailing address
7725 BUCHANAN ST, ALLENDALE, MI 49401-9708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010842
MI
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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