Individual
DR. ANDREW J. CROAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6005 MONCLOVA RD STE 320, MAUMEE, OH 43537-1862
(419) 893-7134
(419) 893-6942
Mailing address
6005 MONCLOVA RD STE 320, MAUMEE, OH 43537-1862
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
OH6943C
OH
207VG0400X
Gynecology Physician
34006843
OH
208800000X
Urology Physician
34006843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2117793
—
OH
Enumeration date
03/09/2006
Last updated
05/10/2024
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