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

Crystal L Park, MS

Individual provider Specialist · NPI 1669034948

Crystal L Park, MS is a Specialist in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone: (616) 456-6571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1669034948
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESJuly 8, 2019

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