Individual
DR. PATRICK J CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, S.C.
Contact information
Practice address
7851 COOPER ROAD, KENOSHA, WI 53142-4181
(262) 694-5191
Mailing address
7851 COOPER ROAD, KENOSHA, WI 53142-4181
(262) 694-5191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3916
WI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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