Organization
CRYSTAL PLASTIC SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA KREITZBURG (OFFICE MANAGER)
(330) 668-4065
Entity
Organization
Contact information
Practice address
3925 EMBASSY PKWY, AKRON, OH 44333-1763
(330) 668-4065
(330) 670-4160
Mailing address
3925 EMBASSY PKWY, AKRON, OH 44333-1763
(330) 668-4065
(330) 670-4160
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150554
—
OH
01
—
CJ8526
RAILROAD MEDICARE
OH
Enumeration date
12/28/2006
Last updated
04/20/2008
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