Paul Allen Crotteau
Individual provider Active NPI Pharmacy Technician · Davison, MI
NPI 1104521301 · NPPES record last updated Apr 5, 2023
Key facts
- NPI
- 1104521301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 5303013304 (MI)
- Practice address
- 207 S Main St
Davison, MI 48423-1603 - Phone
- (810) 853-7964
- NPI assigned
- Apr 5, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303013304 | MI | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303013304 | MI | Yes |
Addresses
Primary practice location
207 S Main St
Davison, MI 48423-1603
Mailing address
207 S Main St
Davison, MI 48423-1603
Other providers in Davison, MI
- Betsy Karleen Comstock
- Stanley J Conhon
- Santino D Cooper
- Tammara Lee Copeland
- David M Coriasso
- Jessica Danko
- Catherine Chun Dato
- David J Slezak DDS PC
- Debra Davis
- Davison Drug Store Inc
All providers in Davison, MI · Pharmacy Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.