Individual provider · Type 1 NPI

Miranda F. Cristales, P.A.-C.

Surgical Physician Assistant · East Lansing, MI

NPI number 1508023151 Active

Practice location

4660 S Hagadorn Rd, #600
East Lansing, MI 48823-5376

Fax (517) 884-8602

Mailing address

804 Service Rd, A201
East Lansing, MI 48824-7015

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601005230 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1508023151

Miranda F. Cristales, P.A.-C.'s National Provider Identifier is 1508023151, issued on May 21, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Lansing, MI. The record was last updated on Jun 9, 2016.