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

CRYSTAL COOPER, MD

Active

CRYSTAL COOPER, MD is a Family Medicine healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1689103798 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAINT CLAIR SHORES, MI

Registration Details

NPI Number
1689103798
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2017 (9.1692074649717 yrs)
Last Updated
Jan 10, 2022
Licenses
036153220 (IL)
4301112029 (MI)
EMC0001216 (MI)

Practice Information

Address
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI, 480803200
Browse MI providers · Browse ZIP 48080
Phone
5867772050
Fax
5867772189
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in SAINT CLAIR SHORES, MI

Name Credential NPI
DR. FARZIN REZA NAMEI MD 1700883345
JEFFREY HUBBARD PARCELLS M.D. 1982605275
DR. MARK EDWARD HOLOWINSKI M.D. 1023010063
DR. SIGMUND O MCINTYRE MD 1275525966
KENNETH W BOLLIN MD 1144212788
SHOSHAN P ZOLO MD 1083607584
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.