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Individual

MR. MICHAEL ALLEN CRANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1609 WOODBOURNE RD, LEVITTOWN, PA 19057-1500
(215) 945-2100
(215) 945-2192
Mailing address
1701 WATERFORD RD, YARDLEY, PA 19067-5427
(215) 932-7933

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC008924
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1446589
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/03/2007
Last updated
07/08/2007
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