Organization
BAZDO MEDICAL PLLC
Active
Other names
24HR Lifeline MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY CRAWFORD (OWNER)
(586) 588-2027
Entity
Organization
Contact information
Practice address
12640 E 12 MILE RD, WARREN, MI 48093-3520
(716) 727-8801
Mailing address
12640 E 12 MILE RD, WARREN, MI 48093-3520
(586) 751-2020
(586) 745-1756
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
12/18/2023
Last updated
03/18/2024
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