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

Mark Crystal

Individual provider Registered Nurse · NPI 1336840123

Mark Crystal is a Registered Nurse in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

5300 Patterson Ave SE Ste 100E
Grand Rapids, MI 49512-5663
Phone: (616) 222-5601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704352340 (MI)

Record details

NPI number1336840123
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address1976 Glenn Canyon Dr Se, Caledonia, MI 49316-7688

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