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Organization
OTIS LEON CRAWFORD JR
Active
Organization
OTIS LEON CRAWFORD JR
Active
Other names
DOCTORS CREATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS CRAWFORD D.O. (PROVIDER)
(313) 268-5866
Entity
Organization
Contact information
Practice address
16125 MACK AVE, DETROIT, MI 48224-3644
(313) 469-9034
Mailing address
16125 MACK AVE, DETROIT, MI 48224-3644
(313) 469-9054
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
06/26/2017
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