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

CRYSTAL CANNON

Active

CRYSTAL CANNON is a Case Manager healthcare provider located in DEARBORN, Michigan. NPI 1972255644 is currently active in the NPPES registry. Verify at CMS.

Case Manager · DEARBORN, MI

Registration Details

NPI Number
1972255644
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2022 (4.5867994687514 yrs)
Last Updated
Oct 16, 2024

Practice Information

Address
1360 PORTER ST
DEARBORN, MI, 481242890
Browse MI providers · Browse ZIP 48124
Phone
3136895188
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in DEARBORN, MI

Name Credential NPI
MR. RICKEY EUGENE STOKER BACHELOR OF SCIENCE 1114271103
RUTH MOORE-RUSSELL CNA 1760813901
MS. ALICE OVLASUK 1194107391
ROSSLYN OLARIU 1891152286
AMAL ALKHAFAJI 1396286068
SUMAYA FARID HAMKA 1225554322
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.