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Organization
MICHAEL J. CRAWFORD, M.D., P.C.
Active
Organization
MICHAEL J. CRAWFORD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES CRAWFORD M.D. (PRESIDENT)
(616) 458-4205
Entity
Organization
Contact information
Practice address
415 COLLEGE AVE NE, GRAND RAPIDS, MI 49503-1705
(616) 458-4205
(616) 459-3001
Mailing address
415 COLLEGE AVE NE, GRAND RAPIDS, MI 49503-1705
(616) 458-4205
(616) 459-3001
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
4301034057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1498399
—
MI
Enumeration date
01/12/2007
Last updated
08/30/2007
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