Organization
ADVANCED THERAPEUTIC MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTIS CRAWFORD DO (OWNER)
(313) 837-0560
Entity
Organization
Contact information
Practice address
20905 GREENFIELD RD, SUITE 205M, SOUTHFIELD, MI 48075-5360
(313) 837-0560
Mailing address
PO BOX 760128, LATHRUP VILLAGE, MI 48076-0128
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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