Individual
DR. DAVID J. CREWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3100 80TH ST, KENOSHA, WI 53142-4946
(262) 694-2932
(262) 694-3575
Mailing address
3100 80TH ST, KENOSHA, WI 53142-4946
(262) 694-2932
(262) 694-3575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2714
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3342800
—
WI
Enumeration date
03/24/2007
Last updated
07/08/2007
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