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Individual
MR. MICHAEL P CROUCHLEY
Active
Individual
MR. MICHAEL P CROUCHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000748CT01
BCBS
CT
Enumeration date
06/21/2006
Last updated
08/17/2009
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