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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601005230 (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.