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Individual
KEVIN M CROSSMAN
Active
Individual
KEVIN M CROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992733091
NPI
MI
01
—
236850
MDCR FACILITY NUMBER
MI
01
—
5501003422
STATE OF MICHIGAN
MI
01
—
650E410320
BCBSM
MI
01
—
650G011770
BCBS
MI
Enumeration date
06/28/2006
Last updated
05/16/2008
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