Individual provider · Type 1 NPI

Crystal L. Park, M.S.

Specialist · Grand Rapids, MI

NPI number 1669034948 Active

Practice location

1115 Ball Ave NE
Grand Rapids, MI 49505-5904

Call (616) 456-6571 Map

Mailing address

151 S Wildwood Run Apt 16
Ludington, MI 49431-8751

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1669034948

Crystal L. Park, M.S.'s National Provider Identifier is 1669034948, issued on Jul 8, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2019.