Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal G Addison, PA

Individual provider Physician Assistant · NPI 1235689100

Crystal G Addison, PA is a Physician Assistant in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 E Medical Center Drive Level 4 University Hospital Bldg 1000312
Ann Arbor, MI 48109-5240
Phone: (734) 647-9291
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008004 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1235689100
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

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