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Contact Information

CROSWELL PODIATRY PLLC
2460 BURTON ST SE
SUITE 200
GRAND RAPIDS, MI49546-4800
 Phone: 616-774-9571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CROSWELL PODIATRY PLLC · (Female)

NPI Number 1407833049
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2005
Last updated 09/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 4376578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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