Individual provider · Type 1 NPI

Jeffrey Cruz

Student in an Organized Health Care Education/Training Program · St. Clair Shores, MI

NPI number 1548050602 Active

Practice location

24911 Little Mack Ave Ste C
St. Clair Shores, MI 48080-3200

Call (586) 777-2050 Map

Mailing address

855 S Main St Apt 511
Royal Oak, MI 48067-3292

Other practice locations

  • 1280 E Campus Dr, Mount Pleasant, MI 48859-3292 · (989) 774-7547

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1548050602

Jeffrey Cruz's National Provider Identifier is 1548050602, issued on May 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Mar 31, 2026.