Individual
RICHARD CRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT, PORT HURON, MI 48060-3511
(810) 987-5000
(810) 385-4933
Mailing address
3050 COMMERCE DR, SUITE C, FORT GRATIOT, MI 48059-3819
(810) 385-8086
(810) 385-4933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301084158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301084158
LICENSE
MI
Enumeration date
02/07/2007
Last updated
07/08/2007
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