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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL L PARK, M.S.

Active

CRYSTAL L PARK, M.S. is a Specialist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1669034948 is currently active in the NPPES registry. Verify at CMS.

Specialist · GRAND RAPIDS, MI

Registration Details

NPI Number
1669034948
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2019 (7.0780174335889 yrs)
Last Updated
Jul 8, 2019

Practice Information

Address
1115 BALL AVE NE
GRAND RAPIDS, MI, 495055904
Browse MI providers · Browse ZIP 49505
Phone
6164566571
Primary Specialty
Specialist
174400000X

Other Specialist Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. WILLIAM GENE HEERINGA M.D. 1326043829
DR. STEVEN A. CRANE M.D. 1316942816
DR. MARTIN P. GREYDANUS M.D. 1043215544
DR. KENNETH S. LOWN M.D. 1689679185
DR. PAUL O. FARR M.D. 1790781987
DR. STEPHEN T. WEBSTER M.D. 1245236439
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.