CRYSTAL L PARK M.S. NPI 1669034948

NPI Information

Crystal L Park, M.S. is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Crystal L Park, M.S. NPI is 1669034948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1115 BALL AVE NE
GRAND RAPIDS, MI
ZIP 49505-904
Phone: (616) 456-6571

The enumeration date for this NPI number is 7/8/2019 and was last updated on 7/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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